摘要
目的:通过分析70例老年椎体压缩性骨折患者的临床资料、手术方法以及随访结果,比较经皮椎体成形(PVP)和经皮椎体后凸成形术(PKP)治疗老年椎体压缩性骨折的有效性和安全性。方法:选取70例老年胸腰椎椎体压缩性骨折患者,根据随机数字表法分为PVP组和PKP组各35例。比较分析两组患者术前及术后伤椎高度变化、术前及术后VAS评分、术前及术后cobb角的变化、骨水泥渗漏率,并用SPSS19.0软件进行分析。结果:两组患者一般情况差异无统计学意义(P>0.05),两组患者具有可比性;通过软件分析两组患者术前VAS评分、术前cobb角、术前伤椎高度均差异无统计学意义(P>0.05);两组间术后VAS评分差异无统计学意义(P>0.05),但在术后伤椎椎体高度、术后cobb角及骨水泥渗漏量方面存在差异(P<0.05)。结论:PVP和PKP是治疗老年椎体压缩性骨折的有效手术方式,两者在缓解患者疼痛方面疗效相当,但PKP较PVP能更好的恢复伤椎高度和矫正脊柱的后凸畸形,并降低了骨水泥渗漏的发生率。
Objective Through the analysis of the clinical data,surgical methods and follow- up results of 70 cases of elderly patients with vertebral compression fractures,comparing efficacy and safety between PVP and PKP of the treatment of senile vertebral compression fractures. Method 70 cases of elderly patients with thoracolumbar vertebral compression fractures were selected,according to random number table method,they were divided into PVP group and PKP group, 35 cases in each group. Comparative analysis of two groups of patients with preoperative and postoperative wound vertebral height change,preoperative and postoperative VAS score,the changes of preoperative and postoperative cobb Angle,PMMA leakage rate,and used SPSS19. 0 software for analysis. Results The two groups of patients in general there was no difference（ P〈0. 05）,two groups of patients had compared,through the software analysis of two groups of patients with preoperative VAS score,preoperative Cobb angle,preoperative vertebral height had no difference（ P〉0. 05）; Postoperative VAS score between the two groups had no difference（ P〈0. 05）,but injured vertebral height of vertebral body after surgery,postoperative cobb Angle and bone cement leakage rate had differences（ P〈0. 05）. Conclusion PVP and PKP are effective in the treatment of senile vertebral compression fractures surgery way,both in terms of ease patients＇ pain treatment,but PKP be better than PVP after the recovery of injured vertebral height and kyphosis correction of the spine,and reduce the incidence of leakage of bone cement.
出处
《吉林医学》
CAS
2016年第3期581-584,共4页
Jilin Medical Journal
