摘要
目的比较经皮椎体成形术(PVP)与经皮椎体后凸成形术(PKP)治疗老年女性胸腰椎压缩性骨折的临床效果。方法选取2015年1月～2018年1月我院收治的54例老年女性胸腰椎压缩性骨折患者作为研究对象,依据术式不同将患者分为PKP组与PVP组,每组各27例。随访6个月后比较两组患者的手术相关指标、疼痛情况、X射线评分等。结果 PKP组患者的术中出血量、骨水泥灌注量均少于PVP组,手术时间明显短于PVP组,差异有统计学意义(P<0.05);PKP组患者的视觉模拟(VAS)评分、Owestry功能评分明显低于PVP组(P<0.05);PKP组患者的X射线评分均明显高于PVP组(P<0.05)。结论 PKP可以有效缓解患者疼痛,改善患者的椎体高度,并且有效促进了患者预后的功能恢复。
Objective To compare the clinical effects of percutaneous vertebroplasty(PVP)and percutaneous kyphoplasty(PKP)in the treatment of thoracolumbar vertebral compression fractures in elderly women.Methods From January 2015 to January 2018,54 elderly patients with thoracolumbar vertebral compression fractures treated in our hospital were treated as the subjects.According to different surgical methods,they were divided into PKP group and PVP group,with 27 cases in each group.After 6 months of follow-up,the surgical outcomes,pain,and X-ray scores of the two groups were compared.Results The intraoperative blood loss and bone cement perfusion in the PKP group were less than those in the PVP group,the operation time was significantly shorter than that in the PVP group,with statistically significant(P<0.05).The visual analogue scale(VAS)score and Owestry functional score of the PKP group were significantly lower than those of the PVP group(P<0.05).The X-ray score of the PKP group was higher than that of the PVP group(P<0.05).Conclusion PVP can effectively relieve the pain,improve the height of vertebral body and greatly promote the recovery of prognosis.
作者
蔺福辉
LIN Fu-hui(Department of Spinal Orthopaedics,Shenzhen Pingle Orthopedic Hospital,Guangdong Province,Shenzhen 518000,China)
出处
《中国当代医药》
2019年第10期110-112,共3页
China Modern Medicine
