摘要
为了分析椎体后凸成形术对老年患者胸腰椎骨折的临床疗效,选取黄石有色医院2018年12月—2021年10月收治的76例胸腰椎骨折患者作为研究对象,比较患者围手术期指标、术前术后疼痛评分、活动能力、肌力以及并发症发生情况,发现76例患者均顺利完成手术,术后无骨水泥渗透等严重并发症,患者术中平均出血量为20 mL,住院时间为(16.0±10.5)d,术后第1 d和4 d门诊随访时,VAS评分显著低于术前(P<0.05),术后活动能力评分较术前平均升高39分,术后左肢肌力平均上升0.86,右肢肌力平均上升0.87,评分具有统计学意义(P<0.05)。影像资料显示,椎体高度及后凸角度得到有效恢复,骨水泥填充固定良好。老年胸腰椎骨折患者通过椎体后凸成形术治疗后胸背部疼痛明显减轻,活动受限也得到明显改善,住院时间明显缩短。
To analyze the clinical efficacy of percutanous kyphoplasty for thoracolumbar fracture in elderly patients.76 patients with thoracolumbar fracture admitted to Huangshi Youse Hospital from December 2018 to August 2021 were selected as the subjects,and the perioperative indicators,preoperative and postoperative pain scores,mobility assessment,muscle strength and complications of the patients were compared.It was found that all 76 patients successfully completed the operation without serious complications such as bone cement penetration.The average intraoperative blood loss was 20 mL an d the length of hospital stay was(16.0±10.5)days.The VAS scores in 1 and 4 days outpatient follow-up after surgery was significantly lower than that before surgery(P<0.05),postoperative mobility score was 39 points higher than that before surgery,muscle strength of left limb was 0.86 points higher,muscle strength of right limb was 0.87 points higher,and the scores were statistically significant(P<0.05).The imaging data showed that the vertebral height and kyphosis angle were effectively restored,and the bone cement was well filled and fixed.The elderly patients with thoracolumbar fracture were treated with percutanous kyphoplasty,after which chest and back pain was significantly relieved,activity limitation was also significantly improved,and hospital stay was effectively shortened.
作者
曾仁洪
鄢月明
夏明
余卫鹏
解举民
ZENG Renhong;YAN Yueming;XIA Ming;YU Weipeng;XIE Jumin(Sungery DepartmentⅡ,Huangshi Youse Hospital,Huangshi Hubei 435000;School of Medicine,Hubei Polytechnic University,Huangshi Hubei 435003)
出处
《湖北理工学院学报》
2022年第6期47-52,共6页
Journal of Hubei Polytechnic University
关键词
老年患者
胸腰椎骨折
椎体后凸成形术
骨质疏松
elderly patients
thoracolumbar fracture
percutanous kyphoplasty
osteoporosis
