摘要
目的 分析在老年胸腰椎压缩骨折(osteoporotic vertebral compression fracture, OVCF)治疗中,予以经皮椎体后凸成形术(percutaneous kyphoplasty, PKP)治疗的临床效果。方法 选择2018年1月—2021年8月在邳州东大医院接受治疗的56例老年OVCF患者为研究对象,采取随机数表法分为对照组[10例,采用经皮椎体成形术(percutaneous vertebroplasty, PVP)治疗],观察组(46例,采用PKP治疗)。对比两种治疗术式下患者的疼痛程度、预后指标及并发症发生率。结果 术后,观察组疼痛程度NRS评分(2.23±0.44)分略低于对照组的(2.52±0.48)分,差异无统计学意义(t=1.860,P>0.05)。观察组椎体前缘高度、Cobb角、骨密度T值、ODI评分为(24.12±1.36)mm、(12.40±2.18)°、(-2.40±0.20)、(12.02±0.87)分,均优于对照组的(19.33±1.27)mm、(15.62±2.31)°、(-2.58±0.31)、(14.15±1.08)分,差异有统计学意义(t=10.204、4.191、2.322、6.720,P<0.05)。观察组并发症发生率(4.35%)低于对照组(30.00%),差异有统计学意义(P<0.05)。结论 在OVCF治疗中,实施PKP术式干预效果显著,且术后并发症少,值得推广。
Objective To analyze the clinical effect of percutaneous kyphoplasty(PKP) in the treatment of elderly thoracolumbar compression fracture(OVCF).Methods Fifty-six elderly patients with OVCF who were treated in Pizhou Dongda Hospital from January 2018 to August 2021 were selected as the research subjects. They were divided into control group [10 cases, treated with percutaneous vertebroplasty(PVP)] and observation group(46 cases, treated with PKP) by random number table method. The pain degree, prognostic indicators and complication rates of patients under the two treatment methods were compared.Results After operation, the NRS score of pain in the observation group was(2.23±0.44) points, which was slightly lower than that in the control group(2.52±0.48) points, and the difference was not statistically significant(t=1.860, P>0.05). The anterior height of vertebral body, Cobb angle, BMD T value and ODI score of observation group were(24.12±1.36) mm,(12.40±2.18)°,(-2.40±0.20),(12.02±0.87) points, which were all better than(19.33±1.27) mm,(15.62±2.31)°,(-2.58±0.31),(14.15±1.08) points of the control group, the differences were statistically significant(t=10.204, 4.191, 2.322, 6.720, P<0.05). The incidence of complications in the observation group(4.35%) was lower than that in the control group(30.00%), and the difference was statistically significant(P<0.05).Conclusion In the treatment of OVCF, the implementation of PKP intervention has a significant effect, and there are fewer postoperative complications, which is worthy of promotion.
作者
王卿
WANG Qing(Department of Orthopedics,Pizhou Dongda Hospital,Pizhou,Jiangsu Province,221300 China)
出处
《系统医学》
2022年第16期96-99,共4页
Systems Medicine
关键词
胸腰椎压缩骨折
PKP
疼痛程度
预后指标
Thoracolumbar compression fracture
PKP
Pain level
Prognostic indicator
