摘要
目的探讨单侧经皮椎体成形术(percutaneous vertebroplasty,PVP)结合小关节囊封闭术应用于高龄骨质疏松性胸腰椎骨折患者中的临床价值。方法选取2015年1月至2018年1月本院收治的高龄骨质疏松性胸腰椎骨折患者68例作为研究对象,随机分为研究组与对照组,每组34例。对照组行单侧经皮椎体成形术,研究组在对照组基础上行小关节囊封闭术治疗,比较两组术后相关指标、术后VAS评分及奥斯沃斯特里残疾指数(oswestry disability index,ODI)。结果两组手术时间、骨水泥注入量比较差异有统计学意义(P<0.05);两组椎体压缩改善程度、Cobb角矫正度数比较差异无统计学意义。术后24 h及3、6个月,研究组VAS评分明显低于对照组,差异有统计学意义(P<0.05)。术后24 h及3、6个月,研究组ODI指数均明显低于对照组,差异有统计学意义(P<0.05)。结论单侧经椎弓根入路PVP手术结合小关节囊封闭术应用于高龄骨质疏松性胸腰椎骨折患者疗效显著,对减轻术后疼痛,改善椎体压缩程度、保障手术效果等方面均具有积极意义。
Objective To discuss the clinical value of unilateral percutaneous vertebroplasty(PVP)combined with facet blocking in elderly patients with osteoporotic thoracolumbar fractures.Methods 68 elderly patients with osteoporotic thoracolumbar fractures treated from January 2015 to January 2018 in our hospital were selected and randomly assigned to study group and control group,with 34 cases in each group.The control group underwent unilateral percutaneous vertebroplasty,and the study group underwent facet blocking on the basis of the control group.The two groups were compared with postoperative related indexes,postoperative VAS score and Oswestry disability index(oswestry disability index,ODI).Results The difference in operation time and bone cement injection amount between the two groups was statistically significant(P<0.05);there was no significant difference in the improvement of vertebral compression and the degree of Cobb angle correction between the two groups.At 24 h and 3,6 months after operation,the VAS score of the study group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).At 24 h and 3 and 6 months after operation,the ODI index of the study group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The unilateral PVP via vertebral pedicle approach combined with facet blocking is proven to be more effective,which can relieve the pain degree,and improve the vertebral compression degree and surgical effects.
作者
张羽浩
郑飞
ZHANG Yuhao;ZHENG Fei(Orthopedics Department 1,the First People's Hospital of Aksu Prefecture,Xinjiang,Aksu,Xinjiang,843000,China;Traumatic Orthopedics Department,the First Division Hospital of Xinjiang Production and Construction Corps,Aksu,Xinjiang,843000,China)
出处
《当代医学》
2021年第16期87-89,共3页
Contemporary Medicine
