摘要
目的:探讨脊柱胸腰段压缩性骨折采用经皮球囊扩张椎体后凸成形术(PKP)治疗的疗效。方法:选取2019年9月~2021年8月本院收治的脊柱胸腰段压缩性骨折患者共计72例,根据随机摸球法分成观察组(n=36)与对照组(n=36),对照组采用经皮椎体成形术(PVP)治疗,观察组采用PKP治疗,对两组功能障碍、椎体结构、并发症进行比较。结果:术后3个月两组Oswestry功能障碍指数(ODI)评分明显降低(P<0.05),观察组较对照组明显更低(P<0.05);术后3个月两组椎体压缩率、Cobb’s角明显降低(P<0.05),观察组较对照组明显更低(P<0.05);观察组并发症发生率(5.56%)较对照组(25.00%)明显更低(P<0.05)。结论:PKP应用于脊柱胸腰段压缩性骨折患者治疗中,可改善功能障碍及椎体结构,减少并发症发生。
Objective:To investigate the therapeutic effect of percutaneous balloon expansion kyphoplasty(PKP)for thoracolumbar compression fractures of the spine.Methods:A total of 72 patients with thoracolumbar compression fractures admitted to our hospital from September 2019 to August 2021 were selected and divided into observation group(n=36)and control group(n=36)according to random ball touch method.The control group was treated with percutaneous vertebroplasty(PVP),and the observation group was treated with PKP.The dysfunction,vertebral structure and complications were compared between the two groups.Results:Oswestry dysfunction index(ODI)scores in both groups were significantly decreased 3 months after operation(P<0.05),and those in the observation group were significantly lower than those in the control group(P<0.05);3 months after surgery,the vertebral compression rate and Cobb’s angle in both groups were significantly decreased(P<0.05),and those in observation group were significantly lower than those in control group(P<0.05);The complication rate of the observation group(5.56%)was significantly lower than that of the control group(25.00%)(P<0.05).Conclusion:The application of PKP in the treatment of patients with thoracolumbar compression fractures can improve the dysfunction and vertebral structure and reduce the incidence of complications.
作者
罗勇
LUO Yong(Ji’an County Hospital of Traditional Chinese Medicine,Jiangxi Ji’an 343100)
出处
《中国医疗器械信息》
2023年第18期69-71,共3页
China Medical Device Information
关键词
经皮球囊扩张椎体后凸成形术
脊柱胸腰段压缩性骨折
疗效
percutaneous balloon expansion kyphoplasty
spinal thoracolumbar compression fracture
curative effect
