椎体后凸成形术治疗骨质疏松性椎体骨折的临床效果观察  

Clinical Effect of Kyphoplasty in the Treatment of Osteoporotic Vertebral Compression Fractures

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作  者:马兆坤[1] 

机构地区:[1]清华大学医院

出  处:《世界最新医学信息文摘》2017年第45期87-88,共2页World Latest Medicine Information Electronic Version

摘  要:目的评价椎体后凸成形术(percutanous kyphoplasty,PKP)治疗骨质疏松性脊柱骨折的临床疗效。方法选取我院骨科72例骨质疏松性脊柱骨折患者,随机均分为对照组和观察组,对照组采用椎体成形术(percutaneous vertebroplasty,PVP)治疗,观察组采用椎体后凸成形术治疗,比较术后两组临床疗效。结果与术前相比,术后1周和6个月两组患者的损伤椎体高度和后突角均有一定程度的改善,且观察组的改善效果优于对照组(P<0.05);术中骨水泥渗漏及随访期邻近椎体骨折发生率均较低(P<0.05)。结论椎体后凸成形术疗法治疗骨质疏松性脊柱骨折,其术后损伤椎体高度和后凸角均显著改善,术中骨水泥渗漏及随访期邻近椎体骨折发生率较低。Objective To evaluate the clinical effect of kyphoplasty in the treatment of osteoporotic spinal fractures.Methods From the Department of orthopedics in our hospital 72 cases of osteoporotic vertebral fracture patients were randomly divided into control group and observation group, control group with vertebroplasty treatment, observation group were treated with kyphoplasty treatment, postoperative clinical curative effect of two groups. Result Compared with the preoperative, improved 1 week and 6 months in two groups of patients with injury of vertebral height and kyphotic angle has a certain degree of postoperative, a better effect than that of the observation group and the control group(P<0.05); leakage of bone cement and follow-up of adjacent vertebral fracture incidence were lower(P<0.05). Conclusion Kyphoplasty in treatment of osteoporotic vertebral fracture, postoperative injury vertebral height and kyphosis angle were significantly improved, leakage of bone cement and the follow-up period with a low incidence of adjacent vertebral fractures.

关 键 词:椎体后凸成形术 骨质疏松性椎体骨折 疗效 

分 类 号:R687.3[医药卫生—骨科学]

 

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