摘要
[目的]观察在不同时机采用经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的临床效果,为临床治疗选取最佳手术时间提供理论依据。[方法]选取本院2011年1月~2013年1月收治的在不同时间予以经皮椎体后凸成形术的96例骨质疏松性压缩性骨折患者为研究对象,其中骨折7 d内手术36例（A组）,骨折8~14 d内手术32例（B组）,骨折15 d以上手术28例（C组）。对比三组患者术前与术后Oswestry功能障碍指数（ODI）、疼痛视觉模拟量表（VSA）评分、Cobb角改善程度及骨水泥渗漏率。[结果]各组术后疼痛均较术前有明显改善（P〈0.05）,A组改善程度最明显;各组Cobb角均得到矫正;各组骨水泥渗漏率存在差异,B组最低（P〈0.05）。[结论]在骨折初期进行PKP治疗,除了止痛效果优良之外,骨水泥渗漏率也较低,特别是在骨折1~2周内,此阶段手术操作的安全性较高。
[ Objective ] To evaluate the therapeutic effect of different surgical time of percutaneous kyphoplasty （PKP） for osteoporotic vertebral compression fracture, and to provide clinical evidence for appropriate opportunity of treatment. [ Method] From January 2011 to January 2013,96 patients underwent PKP for the treatment of osteoporotic vertebral compression fracture. According to the time of surgery, these patients were able to be divided into three groups, i. e. the Group A of 36 cases （ 〈 1 week after injury） ,the Group B of 32 cases （1 -2 weeks after injury） and the Group C of 28 cases （ 〉 2 weeks after injury）. Then, clinical outcomes were assessed by visual analogue scale（ VAS）, Oswestry dysfunction index（ODI） ,Cobbg angle and incidence of cement leakage. [ Result ] As compared to the preoperative, the pain of all three groups was significantly alleviated after treat- ment according to the results of VAS（ P 〈 0.05 ）, and the VAS was improved most in the Group A. The Cobbg angle was also a- meliorated to some extent in each group. However, the incidence of cement leakage among three groups was different significant- ly, and it was the lowest in the Group B （P 〈 0.05 ）. [ Conclusion ] The early PKP（ especially 1 -2 weeks after injury） for treat- ment of osteoporotic vertebral compression fracture has some advantage in the pain relief, the lower incidence of cement leakage and the better safety of operative procedure.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2015年第18期1662-1666,共5页
Orthopedic Journal of China
