摘要
目的对比分析经皮椎体成形术(percutaneous vertebroplasty,PVP)以及经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)治疗骨质疏松性椎体压缩骨折的临床效果。方法选取2015年2月—2017年5月本院骨伤科收治的84例骨质疏松性椎体压缩骨折患者,随机分为A组和B组,A组给予PKP治疗,B组给予PVP治疗,比较两组患者临床疗效,手术指标,术前、术后1个月、12个月VAS评分、ODI指数、椎体高度、椎体后凸Cobb角,术后骨水泥渗漏发生率。结果与B组相比,A组患者临床疗效显著提高,总有效率高达92. 86%,手术时间显著延长,治疗费用显著提高,差异均具有统计学意义(P <0. 05),两组患者骨水泥注入量、出血量差异无统计学意义(P>0. 05),术前两组患者VAS评分、ODI指数、椎体高度、椎体后凸Cobb角差异无统计学意义(P> 0. 05),术后1个月、12个月VAS评分、ODI指数、椎体后凸Cobb角较对照组显著下降,椎体高度显著提高,差异均具有统计学意义(P<0. 05),A组患者术后骨水泥渗漏发生率为2(4. 76%),较B组的9(21. 34%)显著降低,差异具有统计学意义(χ2=5. 126,P=0. 024)。结论 PKP治疗骨质疏松性椎体压缩骨折可显著提高临床疗效,改善患者临床症状,缓解术后疼痛,促进功能的恢复,降低骨水泥渗漏发生率,建议在临床上推广。
Objective: To compare the clinical effects of PVP and PKP in the treatment of osteoporotic vertebral compression fractures. Methods: Eighty-four patients with osteoporotic vertebral compression fractures admitted to our hospital from February 2015 to May 2017 were selected and divided into group A and group B randomly. Group A was given PKP and group B was given PVP. The clinical efficacy,surgical index,VAS score,ODI index,vertebral body height,kyphosis Cobb angle,and postoperative cement leakage rate between the two groups were compared. Results: Compared with group B,the clinical efficacy of group A was significantly improved,the total effective rate was as high as 92. 86%,the operation time was significantly prolonged,and the treatment cost was significantly increased. The difference was statistically significant( P < 0. 05). There was no significant difference in the amount of injection and the amount of bleeding( P > 0. 05).There was no significant difference in VAS score,ODI index,vertebral height and vertebral kyphosis Cobb angle between the two groups( P > 0. 05). The VAS score,ODI index,and kyphosis Cobb angle were significantly decreased in 1 and 12 months,and the height of the vertebral body was significantly increased. The VAS score,ODI index,and kyphoid Cobb angle of the patients in group A were 1 and 12 months after operation. The decrease and height of vertebral body height were more significant,and the difference was statistically significant( P < 0. 05) The incidence of postoperative cement leakage in group A was 2( 4. 76%),which was significantly lower than that in group B( 9: 21. 34%). The difference was statistically significant( χ2= 5. 126,P = 0. 024). Conclusion: PKP treatment of osteoporotic vertebral compression fracture can significantly improve clinical efficacy,improve clinical symptoms,relieve postoperative pain,promote functional recovery,and reduce the incidence of bone cement leakage,which should be recommended for clinical promotion.
作者
黄文显
邓颂波
曾日祥
刘颗星
石林毅
HUANG Wen-xian;DENG Song-bo;ZENG Ri-xiang;LIU Ke-xing;SHI Lin-yi(Dept.of Orthopedics,Huidong People's Hospital,Huizhou 516300,China)
出处
《泰山医学院学报》
CAS
2019年第1期41-44,共4页
Journal of Taishan Medical College
