摘要
[目的]比较经皮椎体成形术(percutaneous vertebroplasty, PVP)与保守治疗骨质疏松椎体压缩骨折(osteoporotic vertebral compression fracture, OVCF)的临床效果。[方法] 2018年1月—2019年7月本院收治OVCF患者87例。依据医患沟通结果,44例采用PVP治疗(PVP组),43例采用保守治疗(保守组)。比较两组患者的短期临床效果与影像资料。[结果]两组患者均顺利完成手术,无神经、血管损伤等严重并发症。随时间推移,两组患者VAS和ODI评分均显著减少(P<0.05)。治疗前两组间VAS和ODI评分的差异无统计学意义(P>0.05),治疗3 d和末次随访时,PVP组的VAS和ODI评分均显著低于保守组(P<0.05)。影像方面,与治疗前相比,末次随访时PVP组的椎体前缘高度显著增加,后凸Cobb角显著减少(P<0.05);而保守组的椎体前缘高度和后凸Cobb角差异均无统计学意义(P>0.05)。[结论]与保守治疗相比,PVP治疗可快速缓解疼痛,并改善OVCF的影像表现。
[Objective] To compare the short-term outcomes of percutaneous vertebroplasty(PVP) versus conservative treatment for thoracolumbar osteoporotic vertebral compression fracture(OVCF). [Methods] From January 2018 to July 2019, a total of 87 patients received treatment for OVCF in our hospital. According to the results of doctor-patient communication, 44 patients were treated with PVP,while 43 patients underwent conservative treatment. The short-term clinical and radiographic data were compared between the two groups.[Results] The VAS and ODI scores significantly decreased over time in both groups(P<0.05). Although there was no significant difference in the scores of VAS and ODI between the two groups before treatment(P>0.05). The PVP group proved significantly superior to the conservative group at 3 day after treatment and at the latest follow-up(P<0.05). In terms of imaging assessment, the anterior vertebral height significantly increased and the kyphotic Cobb angle significantly reduced in the PVP group(P<0.05), whereas which remained unchanged in the conservative group(P>0.05) at the latest follow-up compared those with before treatment. [Conclusion] Compared with conservative treatment, PVP treatment does relieve pain quickly and improve the imaging performance of OVCF.
作者
邓红敏
廖勇
刘志诚
DENG Hong-min;LIAO Yong;LIU Zhi-cheng(Department of Orthopedics and Traumatology,Xinyu Hospital of Traditional Chinese Medicine,Xinyu 338025,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2021年第18期1695-1697,共3页
Orthopedic Journal of China
关键词
骨质疏松性椎体压缩骨折
经皮穿刺椎体成形术
保守治疗
osteoporotic vertebral compression fractures
percutaneous vertebroplasty
conservative treatment
