摘要
目的:探讨经皮椎体成形术对老年骨质疏松性胸腰椎压缩性骨折患者的治疗效果。方法:选取2018年1月-2020年6月笔者所在医院收治的老年骨质疏松性胸腰椎压缩性骨折患者80例作为研究对象,随机数字表法分为对照组(n=40)和观察组(n=40)。对照组采用保守治疗,观察组采用经皮椎体成形术治疗。比较两组患者腰痛(ODI)评分、Cobb角、后缘高度、中线高度、前缘高度及并发症发生情况。结果:治疗前两组ODI评分比较差异无统计学意义(P>0.05),治疗后观察组ODI评分低于对照组(P<0.05);观察组Cobb角小于对照组,后缘高度、中线高度、前缘高度均高于对照组(P<0.05);观察组患者并发症发生率7.50%,低于对照组的25.00%(P<0.05)。结论:经皮椎体成形术应用于老年骨质疏松性胸腰椎压缩性骨折患者有较好的治疗效果,有利于缓解患者腰痛症状,促进椎体的恢复,降低患者并发症的发生,值得广泛应用。
Objective:To investigate the effect of percutaneous vertebroplasty(PVP)in the treatment of senile osteoporotic thoracolumbar vertebral compression fractures.Method:A total of 80 elderly patients with osteoporotic thoracolumbar compression fractures admitted to our hospital from January 2018 to June 2020 were selected as study subjects.The patients were randomly divided into the control group(n=40)and the observation group(n=40).The control group received conservative treatment,the observation group was treated with percutaneous vertebroplasty.The low back pain(ODI)score,Cobb angle,posterior edge height,midline height,anterior height and complications were compared between the two groups.Result:There was no significant difference in ODI scores between the two groups before treatment(P>0.05).After treatment,the ODI score of the observation group was lower than that of the control group(P<0.05).The Cobb angle of the observation group was smaller than that of the control group,and the height of the posterior edge,midline and leading edge were higher than that of the control group(P<0.05).The incidence of complications in the observation group was 7.50%,which was lower than 25.00%in the control group(P<0.05).Conclusion:Percutaneous vertebroplasty in elderly patients with osteoporotic thoracolumbar vertebral compression fractures has a good therapeutic effect,which is conducive to relieve the symptoms of patients with low back pain,promote the recovery of vertebral body and reduce the incidence of complications,which is worthy of wide application.
作者
钟斌
ZHONG Bin(Tongshan District People’s Hospital of Xuzhou,Xuzhou 221000,China)
出处
《中外医学研究》
2020年第34期39-41,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
经皮椎体成形术
老年骨质疏松
胸腰椎压缩性骨折
腰痛症状
椎体恢复
Percutaneous vertebroplasty
Senile osteoporosis
Thoracolumbar vertebral compression fracture
Low back pain symptoms
Vertebral body recovery
