摘要
目的:比较经皮椎体成形术与椎体后凸成形术治疗骨质疏松性胸腰椎压缩性骨折的临床疗效。方法:选择我院收治的78例骨质疏松性胸腰椎压缩性骨折患者的临床资料,其中PVP组40例患者采用经皮椎体成形术,而PKP组38例患者采用经皮椎体后凸成形术治疗,比较两组患者的临床治疗效果。结果:手术后,两组患者的临床疗效以及VAS评分、Barthel指数等均基本相当,且差异无统计学意义,而PKP组患者的病变椎体前缘平均高度恢复率明显高于PVP患者,且差异具有明显统计学意义(P<0.05)。结论:经皮椎体成形术(PVP)和经皮椎体后凸成形术(PKP)均为骨科微创手术方式,临床可根据患者的实际情况酌情选择相应的术式。
Objective：To compare clinical efficacy of PVP and PKP for treatment of osteoporotic thoracolumbar vertebral compression fractures.Methods：78 patients in our hospital with osteoporotic thoracolumbar vertebral compression fractures were divided into two groups, including PVP group of 40 patients with percutaneous vertebroplasty, while PKP group of 38 patients were treated with percutaneous vertebroplasty angioplasty.Results：After surgery, the clinical efficacy of two groups of patients as well as VAS score, Barthel index etc. is roughly equal, and the difference was not statistically significant, PKP group of patients with lesions of vertebral height restoration was significantly higher than the average PVP patients, and the difference with statistically significant （P〈0.05）. Conclusion：Percutaneous vertebroplasty （PVP） and percutaneous kyphoplasty （PKP） are minimally invasive orthopedic surgical procedures;and the appropriate surgical procedures can be selected according to the patient＇s clinical situation discretion.
出处
《中国医药导刊》
2014年第5期745-746,748,共3页
Chinese Journal of Medicinal Guide
关键词
经皮椎体成形术
椎体后凸成形术
骨质疏松性胸腰椎压缩性骨折
临床疗效
Percutaneous vertebroplasty
Kyphoplasty
Osteoporotic thoracolumbar vertebral compression fractures
Clinical efficacy
