摘要
目的探讨经皮穿刺球囊扩张椎体后凸成形术(percutaneous kyphoplasty,PKP)治疗胸腰椎单节段压缩骨折中的临床效果及应用价值。方法选择单节段胸腰椎压缩骨折患者56例进行回顾性研究分析,根据患者手术方式不同分为观察组(n=18)和对照组(n=38)。观察组采用闭合复位经皮穿刺球囊扩张椎体后凸成形术,对照组采用切开复位椎弓根螺钉钉棒系统内固定治疗,记录2组治疗及随访情况。结果 (1)观察组手术时间、术中出血量、术后患者下地时间、住院天数、并发症发生率优于对照组,组间对比差异有统计学意义(P<0.05)。(2)观察组术后疼痛评分、术后2个月时生活能力评分优于对照组,组间对比差异有统计学意义(P<0.05)。(3)观察组、对照组术前测量Cobb角较术后Cobb角均有明显改善(P<0.05);术前Cobb角组间对比无统计学差异,术后Cobb角组间对比观察组优于对照组(P<0.05)。结论采用经皮穿刺球囊扩张椎体后凸成形术应用在单节段胸腰椎压缩骨折患者中能够有效减轻患者疼痛感,提高患者活动能力,有效恢复伤锥高度,矫正后凸畸形,缩短手术时间、患者术后下床时间及住院时间,减少并发症发生,值得在临床大力推广使用。
Objective To investigate the clinical effect and value of percutaneous kyphoplasy （PKP） in treatment of single thoracolumbar vertebral compressive fracture. Methods 56 cases of single thoracolumbar vertebral compressive fracture were analysed by retrospective study in our hospital. Closed reduction and percutaneous kyphoplasty was used in the observation group, meanwhile open reduction pedicle screw and rod system internal fixation was used in the matched group. Recording information of two groups’treatment and follow-up.Results（1）The observation group was better than the matched group in the operative time,the amount of bleeding, function exercise,the hospitalization time and the incidence of complications. The difference between the groups had statistically significance （P〈0.05）.（2）The observation group was better than the matched group in postoperative pain score,living score of 2 months after operative. The difference between the groups had statistically significance （P〈0.05）. （3）Preoperative Cobb angle between the two groups no significant differences. Postoperative Cobb angle of the observation group was better than the matched group;The Cobb angle in the observation group and the matched group were obviously improved after the operations（P〈0.05）.Conclusion Patients with single thoracolumbar vertebral compressive fracture were relieved the pain,improved the ability of locomotor system,shorten the operation time and hospitalization time and recovered of the injured vertebral height after PKP treatment. So PKP was worth to be popularized in clinic.
出处
《当代医学》
2015年第17期5-7,共3页
Contemporary Medicine
