摘要
目的分析补肾壮骨汤联合经皮球囊扩张成形术（PKP）治疗骨质疏松性压缩性骨折的手术时机选择和疗效。方法选取2012年10月～2015年10月宁波市鄞州人民医院收治的100例骨质疏松性椎体压缩性骨折患者作为研究对象。其中，A组52例患者在伤后7d内行手术治疗，B组28例患者在伤后8～14d内实施手术治疗，C组20例患者在伤后14d后实施手术治疗。所有患者术后给予补肾壮骨汤，每天1剂，早晚分服，服用60d。比较3组患者的治疗效果。结果术后1周3组患者Cobb角和VAS评分均较术前显著改善，手术前后数据比较差异具有统计学意义（P＜0.05），其中A组患者改善程度显著优于B、C2组，组间比较差异具有统计学意义（P＜0.05）；术后3组患者椎体骨折复位情况相比差异无统计学意义；3组患者总并发症发生情况差异无统计学意义，A组患者手术时间显著短于B、C组，组间比较差异具有统计学意义（P＜0.05）。结论在骨质疏松性椎体压缩性骨折早期实施PKP术效果更好。
Objective To analysis theeffect of different surgical timing of percutaneous kyphoplasty combined with toner tonic soup in treatment of osteoporotic compression fractures.Methods100patients with osteoporotic compression fractures in Ningbo Yinzhou People's Hospital from October2012to October2015were selected.52patients in group A underwent surgery in the7days after injury,28patients in group B underwent surgery within8-14days after injury,20cases in group C underwent operation after14days.All patients were given toner tonic soup,daily1agent,points in the morning and evening suit,total for60days.Results One week after surgery,the Cobb angle and VAS score of the three groups were significantly improved than before surgery(P<0.05),the improvement of group A was better than that of group B and C(P<0.05);there were no significant differences in vertebral fracture reduction among the three groups;there was no significant differences in the total complication rate among the three groups,the operation time in group A was significantly shorter than that in group B and C(P<0.05).Conclusion Early implementation of PKP surgery for patients with osteoporotic compression fractures can get better results,worthy of clinical promotion.
作者
朱峰
王福生
陈昌伟
ZHU Feng;WANG Fu-sheng;CHEN Chang-wei(Department of Orthopedics,Ningbo Yinzhou People’s Hospital,Ningbo 315000,China)
出处
《中国生化药物杂志》
CAS
2017年第11期383-385,387,共4页
Chinese Journal of Biochemical Pharmaceutics
