摘要
目的探讨经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩性骨折的临床疗效,观察手术时机与术后疼痛缓解的关系,为手术时机的选择提供理论支持。方法收集60例同一组术者PVP治疗的骨质疏松性腰椎压缩骨折患者的基本情况(病人入院和手术后分别进行以伤椎为中心的正侧位X线,记录病人的姓名、性别、年龄、受伤椎体、手术时间、术中注入骨水泥的量),术前术后进行视觉模拟疼痛评分(VAS)、活动能力评分。根据受伤到手术的时间,分为3组,A组小于1周,B组1~3周,C组大于3周,比较3组术前术后VAS的差异,进行统计分析,对比3组的临床疗效。结果 3组骨水泥注入量无显著差异(P<0.05),3组活动评分术前术后均有变化,但3组之间显著差异(P>0.05)。3组均能有效缓解患者疼痛,提高患者生活质量,但3组缓解疼痛的显著程度有显著差异,B组疼痛缓解最明显,A组次之,C组缓解程度小(P<0.05)。结论 PVP是治疗骨质疏松性腰椎压缩性骨折的有效方法,术后疼痛较术前有明显改善。手术时机对疼痛的恢复程度有一定的影响,骨质疏松性椎体压缩性骨折患者在伤后1~3周内进行手术,效果最好。
Objective To investigate the percutaneous vertebroplasty（ PVP） in the treatment of osteoporotic vertebral compression fractures of the clinical effects,and observe the relationship between operative time,postoperative pain relief and theoretical support for the choice of surgery time. Methods 60 cases treated with same surgeons,who performed the PVP treatment,were collected. The basic information（ including PA and lateral view X ray,name,gender,age,injured time,operation time,bone cement amount）,visual simulation pain score（ VAS）,activity capacity score,time between operation injury and operation were recorded. According to these information,these patients were divided into three groups,A group less than 1 week,B group between 1 and 3 weeks,C group more than 3 weeks. The VAS and clinical efficacy of three groups were compared and analyzed. Results There was no significant difference in cement amount among three groups. There were some changes in activity score before and after operation among three groups,with significant difference. There were pain remission and improved life quality in all three groups patients. The extent of pain remission had significant different. The pain remission of group B is most obvious,A group in second position,C group in the last position（ P〈0. 05）. Conclusion PVP is an effective method in the treatment of osteoporotic vertebral compression fracture,preoperative postoperative pain has significantly improved after operation. Operation opportunity has some effects on the degree of pain.Surgery was performed in 1-3 weeks after osteoporotic vertebral compression fractures,which had the best effect.
出处
《临床和实验医学杂志》
2017年第18期1832-1834,共3页
Journal of Clinical and Experimental Medicine
基金
2015年河北省秦皇岛市科学技术研究与发展计划项目(编号:201502A162)
关键词
骨质疏松性椎体压缩性骨折
经皮椎体成形术
手术时机
术后疼痛
Osteoporotic vertebral compression fractures
Percutaneous vertebroplasty
Operation time
Postoperative pain
