经皮椎体成形术治疗老年胸腰椎骨折患者的效果  

Effect of Percutaneous Vertebroplasty in the Treatment of Elderly Patients with Thoracolumbar Fracture

作　　者：谢昊真 许洋 杨成纲 XIE Haozhen;XU Yang;YANG Chenggang(Department of Spinal Surgery,Ruijin People's Hospital,Ruijin 342500,China)

机构地区：[1]瑞金市人民医院脊柱外科,江西瑞金342500

出　　处：《中国医学创新》2025年第10期58-61,共4页Medical Innovation of China

摘　　要：目的:探究经皮椎体成形术在老年胸腰椎骨折患者中的临床效果。方法:选取瑞金市人民医院2022年1月—2023年12月收治的106例老年胸腰椎骨折患者,以随机数字表法分为对照组(n=53)和研究组(n=53)。对照组采用切开复位内固定术治疗,研究组采用经皮椎体成形术治疗。比较两组伤椎椎体前缘高度压缩率、后凸Cobb角和Oswestry功能障碍指数(ODI);并对两组手术时间、术中出血量、术中透视次数和恢复情况(疼痛缓解时间、住院时间及骨折愈合时间)进行对比。结果:研究组手术时间短于对照组,术中出血量少于对照组,术中透视次数多于对照组,差异均有统计学意义(P<0.05);两组术后1、3、6个月的伤椎椎体前缘高度压缩率、后凸Cobb角均较术前改善,差异均有统计学意义(P<0.05);研究组术后3、6个月的ODI均较对照组低,差异均有统计学意义(P<0.05);研究组疼痛缓解时间早于对照组,住院时间及骨折愈合时间相短于对照组,差异均有统计学意义(P<0.05)。结论:经皮椎体成形术能有效促进老年胸腰椎骨折患者功能恢复,加快疼痛缓解与骨折愈合。Objective:To explore the clinical effect percutaneous vertebroplasty in the treatment of elderly patients with thoracolumbar fracture.Method:A total of 106 elderly patients with thoracolumbar fracture admitted to Ruijin People's Hospital from January 2022 to December 2023 were selected and divided into control group(n=53)and study group(n=53)by random number table method.The control group was treated with open reduction and internal fixation,and the study group was treated with percutaneous vertebroplasty.The anterior vertebral body height compression rate and kyphotic Cobb angle of the injured vertebra,and the Oswestry disability index(ODI)were compared between the two groups.Surgery time,intraoperative blood loss,intraoperative fluoroscopy times and recovery(pain relief time,hospital stay and fracture healing time)were compared between the two groups.Result:The operation time of the study group was shorter than that of the control group,the intraoperative blood loss was less than that of the control group,and the intraoperative fluoroscopy times was more than that of the control group,the differences were statistically significant(P<0.05).The anterior vertebral body height compression rate and kyphotic Cobb angle of the injured vertebra in both groups 1 month,3,and 6 months after surgery were improved compared with those before surgery,the differences were statistically significant(P<0.05).ODI of the study group 3 and 6 months after surgery were lower than those of the control group,the differences were statistically significant(P<0.05).The pain relief time of the study group was earlier than that of the control group,hospital stay and fracture healing time were shorter than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Percutaneous vertebroplasty can effectively promote functional recovery of elderly patients with thoracolumbar fracture,and accelerate pain relief and fracture healing.

关 键 词：经皮椎体成形术 胸腰椎骨折 后凸Cobb角 

分 类 号：R687.3[医药卫生—骨科学]