摘要
目的评价平乐正骨手法复位+高黏度骨水泥经皮椎体成形术治疗老年骨质疏松性压缩骨折的临床价值。方法将72例患者随机分为两组,研究组行平乐正骨手法复位+高黏度骨水泥经皮椎体成形术,对照组行球囊扩张椎体后凸成形术(PKP)术,记录两组患者术前术后视觉模拟量表(VAS)评分、椎体高度、手术出血量、手术时间和骨水泥渗漏发生率,对所得结果进行统计学分析。结果两组患者VAS评分均较术前明显改善(P<0.05),VAS评分组间差异无统计学意义(P>0.05);骨水泥渗漏发生率组间差异无统计学意义(P>0.05)。研究组的手术出血量低于对照组,手术时间短于对照组(P<0.05)。两组椎体高度恢复较术前比较有明显区别(P<0.05),两组之间比较无明显区别(P>0.05);术后影像学研究组骨水泥分布更为均匀,对照组分布集中。结论平乐正骨手法复位+高黏度骨水泥经皮椎体成形术与PKP术均能有效的治疗老年骨质疏松脊柱骨折,在椎体前缘、中部高度、缓解患者疼痛、骨水泥渗漏率方面无明显区别。但PKP组手术时间更长,手中出血相对较多。
Objective： To evaluate the clinical value of Pingle boning manual reduction combined with pereutaneous vertebroplasty（PVP） with high viscosity of bone cement on osteoporotic vertebral compressive fracture in the old by comparing the clinical effects of Pingle boning manual reduction combined with PVP with high viscosity of bone cement and percutaneous kyphoplasty（PKP）. Methods： 72 patients were randomly divided into the study group and the control group. The study group received Pingle boning manual reduction combined with PVP with high viscosity of bone cement;the control group received PKP. The following data was recorded before and after operation： VAS scores,vertebral height,bleeding volume in operation,operation time and incidence of bone cement leakage. Results： The VAS scores of the two groups were significantly improved after operation,compared with those before operation（P〈0.05）,and there was no statistically significant difference between in VASP scores between groups（P〉0.05）. The incidence of bone cement leakage was not statistically significant（P〉0.05）. The operative blood loss and operation time in the study group were better than those in the control group,and the difference between them was statistically significant（P〈0.05）. The vertebral height recovery of the two groups was significantly different from that before operation（P〈0.05）. There was no obvious difference between the two groups（P〉0.05）. Postoperative imaging findings showed that the distribution of bone cement in the study group was more homogeneous,and the control group was distributed centrally. Conclusion： Both methods can treat osteoporotic vertebral compressive fracture in the old,and the clinical effects are satisfying. There was no significant difference in vertebral height,pain relief and leakage rate. However,the operation time of PKP is longer and there is more bleeding during operation.
作者
宋仁谦
郑怀亮
周英杰
赵刚
Song Renqian;Zheng Huailiang;Zhou Yingjie(Orthopedic Hospital of Luoyang of Henan Provinc e,He nan,Luoyang 471002,China.)
出处
《中国中医急症》
2018年第8期1348-1351,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
河南省中医药科学研究专项课题(2015ZY02069)
关键词
平乐正骨手法
高黏度骨水泥经皮椎体成形术
经皮椎体后凸成形术
老年骨质疏松骨折
Pingle boning manual reduction
Pereutaneous vertebroplasty （PVP） with high viscosity of bone cement
Percutaneous kyphoplasty（PKP）
Osteoporotic vertebral compressive fracture in the old patients
