PVP与PKP对老年胸腰椎骨质疏松性骨折术后恢复的影响  

Effect of PVP versus PKP on Recovery from Thoracolumbar Osteoporotic Fractures in Elderly People

作　　者：周劲松 ZHOU Jinsong(Department of Orthopedics,Shuyang Hospital,Suqian,jiangsu 223800)

机构地区：[1]沭阳医院,江苏宿迁223800

出　　处：《智慧健康》2025年第4期77-80,共4页Smart Healthcare

摘　　要：目的 对比分析经皮椎体成形术(PVP)与经皮椎体后凸成形术(PKP)对老年胸腰椎骨质疏松性骨折术后恢复的影响。方法 选取2022年3月—2024年3月本骨科医院收治的84例老年胸腰椎骨质疏松性骨折患者作为研究对象。按照随机数字表法将其分为PVP组和PKP组,每组42例。PVP组患者采用经皮椎体成形术进行治疗,PKP组患者采用经皮椎体后凸成形术进行治疗。观察并比较两组术后疼痛评分、术后功能恢复程度、自我管理能力、生活质量、康复指数。结果 PKP组与PVP组相比,术后疼痛评分、术后功能恢复程度、自我管理能力、生活质量、康复指数均无统计学意义(P>0.05)。结论 PVP和PKP均能有效缓解老年胸腰椎骨质疏松性骨折患者的疼痛,促进患者术后恢复,临床可根据患者具体情况选择合适的手术方式。Objective To compare the effects of percutaneous vertebroplasty(PVP)versus percutaneous kyphoplasty(PKP)on the recovery of osteoporotic fractures of the thoracolumbar vertebrae in the elderly.Methods From March 2022 to March 2024,84 elderly patients with thoracolumbar osteoporotic fractures admitted to the Orthopaedic Hospital were selected as the research subjects.According to the random number table method,they were divided into PVP group and PKP group,with 42 cases in each group.Patients in the PVP group were treated with percutaneous vertebroplasty,and patients in the PKP group were treated with percutaneous kyphoplasty.Postoperative pain scores,postoperative functional recovery,self-management ability,quality of life and rehabilitation index were observed and compared between the two groups.Results Compared with the PVP group,there were no statistically significant postoperative pain scores,postoperative functional recovery,self-management ability,quality of life,and rehabilitation index in the PKP group(P>0.05).Conclusion Both PVP and PKP can effectively alleviate the pain of elderly patients with thoracolumbar osteoporotic fractures and promote postoperative recovery.

关 键 词：PVP PKP 老年胸腰椎骨质疏松性骨折 术后恢复 

分 类 号：R687.3[医药卫生—骨科学]