摘要
目的:比较经皮椎体成形术和经皮椎体后凸成形术治疗胸腰椎骨质疏松性压缩骨折的临床疗效。方法:选取2020年9月—2023年3月普宁市洪阳镇中心卫生院收治的胸腰椎骨质疏松性压缩骨折患者100例为研究对象,采用随机数字表分为观察组和参照组,各50例。参照组给予经皮椎体成形术治疗,观察组给予经皮椎体后凸成形术治疗。比较两组基础指标、影像学指标、并发症发生率。结果:两组手术时间比较,差异无统计学意义(P>0.05);观察组住院时间短于参照组,骨水泥注射量低于参照组,差异有统计学意义(P<0.001)。术前,两组椎体前缘高度、后凸Cobb's角、伤椎椎体压缩率比较,差异无统计学意义(P>0.05);术后3个月,两组后凸Cobb's角和伤椎椎体压缩率降低,椎体前缘高度升高,观察组后凸Cobb's角和伤椎椎体压缩率低于参照组,椎体前缘高度高于参照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于参照组,差异有统计学意义(P=0.001)。结论:经皮椎体后凸成形术治疗胸腰椎骨质疏松性压缩骨折患者的临床效果优于经皮椎体成形术,可减少术后并发症,保障患者椎体恢复效果,促进康复。
Objective:To compare the clinical efficacy of percutaneous vertebroplasty and percutaneous vertebral kyphoplasty in the treatment of thoracolumbar osteoporotic compression fracture.Methods:One hundred patients with thoracolumbar osteoporotic compression fracture admitted to Puning Hongyang Town Central Health Center from September 2020 to March 2023 were selected for the study,and were divided into observation group and reference group by random number table,fifty cases each.The reference group was given percutaneous vertebroplasty treatment,and the observation group was given percutaneous vertebral kyphoplasty treatment.Compared the basic indexes,imaging indexes and complication rate of the two groups.Results:The difference in operation time between the two groups was not statistically significant(P>0.05);the hospitalization time of the observation group was shorter than that of the reference group,and the amount of bone cement injection was lower than that of the reference group,and the difference was statistically significant(P<0.001).Before surgery,the height of the anterior margin of the vertebral body,the posterior convexity Cobb's angle,and the compression rate of the injured vertebral body were compared between the two groups,and the difference was not statistically significant(P>0.05);3 months after surgery,the posterior convexity Cobb's angle,and the compression rate of the injured vertebral body decreased and the height of the anterior margin of the vertebral body increased in the two groups,and the posterior convexity Cobb's angle,and the compression rate of the injured vertebral body in the observation group was lower than that of the reference group,and the height of the anterior margin of the vertebral body was higher than that of the reference group,and the difference was statistically significant(P<0.05);the complication rate of the observation group was lower than that of the reference group,and the difference was statistically significant(P=0.001).Conclusion:The clinical effect of percutaneous vertebral kyphoplasty for the treatment of patients with thoracolumbar osteoporotic compression fracture is superior to that of percutaneous vertebroplasty,which can reduce postoperative complications,guarantee the recovery effect of the patient's vertebral body,and promote rehabilitation.
作者
黄鸿凯
周晓春
Huang Hongkai;Zhou Xiaochun(Puning Hongyang Town Central Health Center,Puning 515347,Guangdong Province,China)
出处
《中外医药研究》
2023年第23期30-32,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
胸腰椎骨质疏松性压缩骨折
经皮椎体成形术
经皮椎体后凸成形术
Thoracolumbar osteoporotic compression fracture
Percutaneous vertebroplasty
Percutaneous vertebral kyphoplasty
