摘要
目的:对比过伸悬吊复位法结合PVP与PKP治疗骨质疏松性椎体压缩骨折的临床疗效。方法:将60例骨质疏松椎体压缩性骨折患者随机分为试验组(过伸悬吊复位法结合PVP治疗)和对照组(单纯PKP治疗)各30例,对比两组治疗前后VAS评分、ODI评分、椎体前中缘平均高度恢复情况、耗材费用。结果:两组患者术后VAS评分及ODI指数差异无统计学意义(P>0.05);椎体前中缘平均高度恢复情况差异无统计学意义(P>0.05);试验组耗材费用显著低于对照组(P<0.01)。结论:过伸悬吊复位法结合PVP治疗骨质疏松性椎体压缩骨折在VAS评分及ODI指数改变上与PKP相当,同时可恢复椎体高度,而且操作相对简单,减少了手术耗材费用,适合基层及贫困地区医院开展。
Objective:To compare the clinical effect of hyperextension suspension reduction combined with PVP and PKP in treatment of osteoporotic vertebral compression fractures.Methods:60 patients with osteoporotic vertebral compression fractures were randomly divided into experimental group(hyperextension suspension reduction combined with PVP)and control group(PKP alone).The VAS score,ODI score,average height recovery of anterior and middle vertebral margin and cost of consumables were compared between the two groups before and after treatment.Results:There was no significant difference in VAS score and ODI index between the two groups(P>0.05).There was no significant difference between the two groups(P>0.05)in the average height recovery of the anterior and middle edge of the vertebral body.The cost of consumables in experimental group was significantly higher than that in control group(P<0.01).Conclusion:Ov erextension suspension reduction combined with PVP in treatment of osteoporotic vertebral compression fractures is equivalent to PKP in VAS score and ODI index.At the same time,the vertebral height can be restored,and the operation is relatively simple,reducing the cost of surgical materials,suitable for grass-roots hospitals and poor areas to carry out.
作者
倪圣陶
吴永生
沈淋源
林烁辉
NI Sheng-tao;WU Yong-sheng;SHEN Lin-yuan;LIN Shuo-hui(Shantou TCM Hospital,Shantou,Guangdong 515031;Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510405)
出处
《按摩与康复医学》
2019年第19期43-45,共3页
Chinese Manipulation and Rehabilitation Medicine
基金
广东省中医药局科研课题,编号:20181245
