摘要
目的探讨球囊扩张椎体成形术在骨质疏松性胸腰椎压缩骨折治疗中的应用价值。方法选取2015年8月至2017年8月我院收治的94例骨质疏松性胸腰椎压缩骨折患者为研究对象,按照随机数字表法分为对照组和观察组,各47例。对照组患者行椎弓根螺钉内固定术治疗,观察组患者行球囊扩张椎体成形术治疗。比较两组患者的近期疗效、手术前、后椎体前缘高度丢失率、Cobb's角、疼痛程度及活动能力。结果观察组的治疗优良率为93.62%,略高于对照组的87.23%,但差异无统计学意义(P>0.05)。手术后6个月,两组患者的椎体前缘高度丢失率及Cobb's角均显著降低,且观察组明显低于对照组,差异均有统计学意义(P<0.05)。手术后6个月,两组患者的VAS、MDS评分显著降低,且观察组的MDS评分明显低于对照组(P<0.05)。结论球囊扩张椎体成形术治疗骨质疏松性胸腰椎压缩骨折疗效确切,可有效防止椎体前缘高度丢失,缓解患者疼痛,明显改善患者的活动能力,值得临床推广应用。
Objective To investigate the application value of balloon dilatation vertebroplasty in the treatment ofosteoporotic thoracolumbar vertebral compression fractures. Methods A total of 94 patients with osteoporotic thoracolumbarvertebral compression fractures admitted in our hospital from August 2015 to August 2017 were selected as the study objectsand divided into control group and observation group according to random number table method, with 47 cases in eachgroups. The control group was treated with pedicle screw fixation, while the observation group was treated with balloondilatation vertebroplasty. The short-term efficacy, loss rates of anterior vertebral border height, Cobb＇s angle, degree of painand activity ability before and after surgery were compared between the two groups. Results The excellent and good rate oftreatment in the observation group was 93.62%, which was slightly higher than 87.23% in the control group, but thedifference was not statistically significant（P〉0.05）. At 6 months after surgery, the loss rates of anterior vertebral border heightand Cobb＇s angle of the two groups significantly decreased, and those in the observation group were significantly lower thanthe control group, and the differences were statistically significant （P〈0.05）. At 6 months after surgery, the VAS and MDSscores of the two groups significantly decreased, and the MDS score of the observation group was significantly lower than thatof the control group （P〈0.05）. Conclusion Balloon dilatation vertebroplasty in the treatment of osteoporotic thoracolumbarvertebral compression fractures is effective, which can effectively prevent the loss of anterior vertebral border height, relievethe pain of patients and obviously improve the activity ability of patients. It is worthy of clinical promotion and application.KEYWORDS： osteoporosis; thoracolumbar vertebral compression fractures; balloon dilatation vertebroplasty
作者
柳玮明
颜登鲁
LIU Wei-ming;YAN Deng-lu(Spine Osteopathy Surgery Department,Affiliated Hospital of Guilin Medical University,Guilin 541000,China)
出处
《临床医学研究与实践》
2018年第27期72-74,共3页
Clinical Research and Practice
关键词
骨质疏松
胸腰椎压缩骨折
球囊扩张椎体成形术
osteoporosis
thoracolumbar vertebral compression fractures
balloon dilatation vertebroplasty
