摘要
目的分析手法复位联合经皮椎体形成术(PVP)治疗老年患者骨质疏松性椎体压缩性骨折(OVCF)的临床效果。方法抽取2017年6月至2021年6月河南省人民医院省直第一医院收治的老年OVCF患者78例,按随机数字表法将其分为手法复位组和PVP组,每组39例。PVP组给予PVP治疗,手法复位组给予手法复位联合PVP治疗。比较两组围术期情况,比较两组术前、术后6个月腰部功能障碍情况、疼痛情况、病椎后凸Cobb角及病椎前缘高度,比较两组骨水泥渗漏率和不良反应发生情况。结果手法复位组手术时间长于PVP组[(72.60±7.63)min比(65.53±6.71)min],骨水泥用量大于PVP组[(4.29±1.38)ml比(2.97±0.92)ml],P<0.05;术后6个月,手法复位组Oswestry功能障碍指数、视觉模拟评分法评分均低于PVP组(P均<0.05);术后6个月,手法复位组病椎后凸Cobb角小于PVP组,病椎前缘高度大于PVP组(P<0.05);手法复位组骨水泥渗漏率(2.56%,1/39)与PVP组(10.26%,4/39)比较差异未见统计学意义(P>0.05);手法复位组不良反应发生率(5.13%,2/39)与PVP组(15.38%,6/39)比较差异未见统计学意义(P>0.05)。结论手法复位联合PVP治疗老年OVCF患者效果确切,可提高骨水泥注入效果,促进术后压缩椎体和功能恢复,减轻患者疼痛程度,并能避免骨水泥渗漏,且安全性好。
Objective To analyze the effect of manipulative reduction combined with percutaneous vertebroplasty(PVP)in the treatment of osteoporotic vertebral compression fractures(OVCF).Methods A total of 78 elderly patients with OVCF treated in the First Hospital of Henan Provincial People’s Hospital from June 2017 to June 2021 were selected,and they were divided into manipulative reduction group and PVP group according to random number table method,with 39 cases in each group.The PVP group was given PVP,and the manipulative reduction group was given manipulative reduction combined with PVP.The perioperative conditions of the two groups were compared,the lumbar dysfunction,pain,Cobb angle of kyphosis and the height of the anterior edge of the diseased vertebrae were compared between the two groups before and 6 months after operation.The bone cement leakage rate and adverse reactions of the two groups were compared.Results The operation time of the manipulative reduction group was(72.60±7.63)min,longer than(65.53±6.71)min of the PVP group,and the amount of bone cement of manipulative reduction group was(4.29±1.38)ml,more than(2.97±0.92)ml of the PVP group(P<0.05).Six months after operation,the Oswestry disability index and visual analogue scale scores in the manipulative reduction group were lower than those in the PVP group(P<0.05).Six months after operation,the Cobb angle of kyphosis in the manipulative reduction group was smaller than that in the PVP group,and the height of the anterior edge of the diseased vertebra was higher than that in the PVP group(P<0.05).There was no significant difference in bone cement leakage between manipulative reduction group(2.56%,1/39)and PVP group(10.26%,4/39),P>0.05.There was no significant difference in adverse reactions between manipulative reduction group(5.13%,2/39)and PVP group(15.38%,6/39),P>0.05.Conclusions Manipulative reduction combined with PVP is effective in the treatment of elderly patients with OVCF,which can improve the effect of bone cement injection,promote postope
作者
张胜华
崔力扬
吴梅
Zhang Shenghua;Cui Liyang;Wu Mei(Department of Surgery,the First Hospital of Henan Provincial People’s Hospital,Zhengzhou 450000,China;Department of Orthopaedics,Henan Provincial People’s Hospital,Zhengzhou 450000,China;Department of Rehabilitation,the First Hospital of Henan Provincial People’s Hospital,Zhengzhou 450000,China)
出处
《中国实用医刊》
2022年第13期36-39,共4页
Chinese Journal of Practical Medicine
关键词
压缩性骨折
骨质疏松
椎体
老年
手法复位
经皮椎体形成术
Compression fractures
Osteoporotic
Vertebral
Advanced age
Manipulative reduction
Percutaneous vertebroplasty
