摘要
目的观察经皮椎体后凸成形术(PKP)治疗老年骨质疏松性胸腰椎骨折的疗效。方法选取2015年1月至2019年6月宜兴市官林医院收治的90例老年骨质疏松性胸腰椎骨折患者作为研究对象,按照随机数字表法分为对照组(保守疗法,45例)与研究组(PKP术,45例),观察两组患者的治疗前后疼痛情况、住院情况、脊柱活动功能。结果研究组骨折愈合时间、住院时间、下床活动时间、疼痛缓解时间短于对照组,差异有统计学意义(P<0.05);治疗后研究组患者的VAS评分、ODI评分低于对照组,差异有统计学意义(P<0.05);研究组患者的Cobb角小于对照组,差异有统计学意义(P<0.05)。结论在对老年骨质疏松性胸腰椎骨折治疗中,采用PKP术可帮助患者降低疼痛感,加快病情恢复,促进脊柱功能恢复。
Objective To observe the application effect of percutaneous kyphoplasty(PKP)in the treatment of senile osteoporotic thoracolumbar fractures.Methods A total of 90 elderly patients with osteoporotic thoracolumbar fractures admitted to Yixing Guanlin Hospital from January 2015 to June 2019 were selected as the research objects and randomly divided into the control group(conservative therapy,45 cases)and the study group(PKP operation,45 cases).The pain,hospitalization and spinal function of the two groups were observed before and after treatment.Results The fracture healing time,hospitalization time,ambulation time and pain relief time of the study group were shorter than those of the control group,with statistical significance between groups(P<0.05).After treatment,the VAS score and ODI score of the study group were lower than those of the control group,the difference was statistically significant(P<0.05),and the Cobb angle of the study group was smaller than that of the control group,with statistical significance between groups(P<0.05).Conclusion In the treatment of senile osteoporotic thoracolumbar fractures,PKP can help patients reduce pain,accelerate the recovery of the disease,and promote the recovery of spinal function.
作者
薛真良
XUE Zhenliang(Yixing Guanlin Hospital,Wuxi,Jiangsu 214200,China)
出处
《大医生》
2020年第19期50-52,共3页
Doctor
