摘要
目的分析经皮椎体成形术(percutaneous vertebro plasty,PVP)在老年骨质疏松性胸腰椎压缩性骨折患者治疗中的应用价值。方法选取2018年1月—2020年12月在江苏省泗洪分金亭医院接受手术治疗的117例老年骨质疏松性胸腰椎压缩性骨折患者为研究对象,采用随机数表法分为两组。对照组55例患者接受经皮椎体后凸成形术(percutoneous kyphoplasty,PKP)治疗,观察组62例患者接受PVP治疗。对比治疗后两组患者围术期指标、脊柱Cobb′s角、椎体前缘的高度及疼痛评分。结果观察组术中失血量(10.43±0.33)mL以及手术耗时(42.81±1.43)min显著低于对照组(105.32±3.32)mL和(86.88±5.33)min,术中透视次数(11.40±1.22)次显著高于对照组(2.97±0.34)次,差异有统计学意义(t=223.928、62.644、49.545,P<0.05);治疗后,观察组Cobb′s角(9.49±0.52)°以及VAS评分(2.18±0.18)分显著低于对照组(16.63±0.93)°和(5.10±0.32)分,椎体前缘高度比(94.88±3.55)%显著高于对照组(79.32±3.19)%,差异有统计学意义(t=51.997、61.704、24.811,P<0.05)。结论骨质疏松性胸腰椎骨折患者接受PVP术治疗,临床疗效更佳,患者的脊柱Cobb′s角、伤椎前缘的高度显著改善,疼痛感显著缓解,有较高临床应用价值。
Objective To analyze the application value of percutaneous vertebroplasty(PVP)in the treatment of elderly patients with osteoporotic thoracolumbar compression fractures.Methods 117 elderly patients with osteoporotic thoracolumbar compression fractures who received surgical treatment at Sihong Fenjinting Hospital in Jiangsu Province from january 2018 to December 2020 were selected as the study objects,and they were divided into two groups used the random number table method.55 patients in the control group were treated with percutoneous kyphoplasty(PKP)and 62 patients in the observation group were treated with PVP.The perioperative indicators,Cobb′s angle of the spine,the height of the anterior margin of the injured spine and pain score were compared between the two groups after treatment.Results The intraoperative blood loss(10.43±0.33)mL and operative time(42.81±1.43)min in the observation group were significantly lower than those in the control group(105.32±3.32)mL and(86.88±5.33)min,the number of intraoperative fluoroscopies(11.40±1.22)times was significantly higher than that in the control group(2.97±0.34)times,the difference was statistically significant(t=223.928,62.644,49.545,P<0.05).After treatment,the Cobb′s angle(9.49±0.52)°and VAS score(2.18±0.18)points in the observation group were significantly lower than those in the control group(16.63±0.93)°and(5.10±0.32)points,and the anterior vertebral body height ratio(94.88±3.55)%was significantly higher than that in the control group(79.32±3.19)%,the difference was statistically significant(t=51.997,61.704,24.811,P<0.05).Conclusion Patients with osteoporotic thoracolumbar fractures treated with PVP have better clinical efficacy,with significant improvement in the Cobb′s angle of the spine,height of the anterior margin of the injured spine,and significant pain relief,which have high clinical application value.
作者
陈栋
王亮
袁龙华
王玉树
张大闯
CHEN Dong;WANG Liang;YUAN Longhua;WANG Yushu;ZHANG Dachuang(Department of Orthopedics,Sihong Fenjinting Hospital,Sihong,Jiangsu Province,223900 China)
出处
《系统医学》
2022年第20期91-94,共4页
Systems Medicine
