摘要
目的 探讨椎体后凸成形术治疗骨质疏松性脊柱骨折的临床效果.方法 选取骨质疏松性脊柱骨折患者100例,采用抽签法分为对照组和观察组,各50例,对照组采用经皮椎体成形术治疗,观察组采用椎体后凸成形术治疗,比较两组临床效果.结果 观察组术后1周疼痛数字（NRS）评分（3.98±1.42）分、末次随访NRS评分（1.06±0.24）分,术后1周腰痛严重程度（ODI）（32.18±5.15）％、末次随访ODI（25.48±5.32）％,术后1周Cobb（25.48±2.35）°、末次随访Cobb（3.78±2.12）°,下床活动时间（15.36±5.48）h、总不良反应发生率4.00％、住院时间（39.85±5.48）d、手术时间（59.63±5.48）min、术中出血量（78.96±3.12）mL,均优于对照组[术后1周NRS评分（4.86±1.55）分、末次随访NRS评分（2.98±0.45）分,术后1周ODI（37.95±6.23）％、末次随访ODI（36.48±6.17）％,术后1周Cobb（34.81±2.63）°、末次随访Cobb（10.85±3.69）°,下床活动时间（27.96±8.63）h、总不良反应发生率24.00％、住院时间（48.63±6.52）d、手术时间（74.18±8.63）min、术中出血量（132.42±5.89）mL]（t=4.457、26.620、5.047、9.547、18.705、11.747、8.715,χ^2=8.305,t=7.289、10.064、56.714,均P〈0.05）.结论 椎体后凸成形术治疗骨质疏松性脊柱骨折患者效果显著,能够降低手术风险.
Objective To investigate the clinical effect of kyphoplasty in treatment of osteoporotic vertebral fractures.Methods 100 patients with osteoporotic vertebral fractures were randomly divided into the observation group and the control group ,50 cases in each group .The control group was treated with percutaneous vertebroplasty , kyphoplasty was used in the observation group .The clinical effect was compared between the two groups .Results In the observation group,postoperative 1 week the NRS（pain number） score was （3.98 ±1.42）points,and the final follow-up NRS score was （1.06 ±0.24）points,1 week after surgery the ODI was （32.18 ±5.15）%,and the final follow-up ODI was （25.48 ±5.32）%,1 week after operation,the Cobb angle was （25.48 ±2.35）°,the final follow-up Cobb angle was （3.78 ±2.12）°,ambulation time was （15.36 ±5.48）h,the incidence rate of adverse reaction was 4.00%,the hospitalization time was （39.85 ±5.48）d,the operation time was （59.63 ±5.48）min,the amount of bleeding was （78.96 ±3.12）mL,which were all better than those of the control group [1 week after operation,the NRS score was （4.86 ±1.55）points,the last follow-up NRS score was （2.98 ±0.45）,1 week after operation ODI was （37.95 ±6.23）%,the last follow-up ODI was （36.48 ±6.17）%,1 week after operation the Cobb angle was （34.81 ±2.63）°,at last follow-up,Cobb angle was （10.85 ±3.69）°,the ambulation time was （27.96 ±8.63）h, the incidence rate of adverse reactions was 24.00%,hospitalization time was （48.63 ±6.52） d,the operation time was （74.18 ±8.63）min,the amount of bleeding was （132.42 ±5.89）mL]（t=4.457,26.620,5.047,9.547, 18.705,11.747,8.715,χ^2 =8.305,t=7.289,10.064,56.714,all P〈0.05）.Conclusion Kyphoplasty is effective in the treatment of osteoporotic vertebral fracture and can reduce the risk of operation .
出处
《中国基层医药》
CAS
2018年第3期291-294,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省卫生科技计划项目（2014KYB246）
