摘要
目的探讨手法复位经皮椎体成形术(PVP)对骨质疏松性胸腰段脊柱压缩骨折(OVCF)患者疼痛程度及脊柱功能的影响。方法选取2021年1月至2022年1月景德镇市第二人民医院收治的70例OVCF患者作为研究对象,随机分为PVP组与手法复位组,每组35例。PVP组采用常规PVP治疗,手法复位组采用手法复位PVP,比较两组手术时间、住院时间、疼痛程度[视觉模拟评分法(VAS)]、脊柱功能[日本矫形外科协会(JOA)评分]及并发症发生情况。结果手法复位组手术时间、住院时间均短于PVP组,差异有统计学意义(P<0.05)。治疗后,两组伤椎前缘高度低于治疗前,椎体后凸Cobb角小于治疗前,且手法复位组伤椎前缘高度低于PVP组,椎体后凸Cobb角小于PVP组,差异有统计学意义(P<0.05)。治疗后1d、1个月、3个月、6个月,两组VAS评分均低于治疗前,且手法复位组低于PVP组,差异有统计学意义(P<0.05)。治疗后1d、1个月、3个月、6个月,两组JOA评分高于治疗前,且手法复位组高于PVP组,差异有统计学意义(P<0.05)。手法复位组并发症发生率为2.86%,低于PVP组的22.86%,差异有统计学意义(P<0.05)。结论手法复位PVP治疗OVCF患者疗效显著,可改善患者疼痛程度及脊柱功能,缩短住院时间,且安全性较高,值得临床推广应用。
Objective To investigate the effects of manual reduction percutaneous vertebroplasty(PVP)on pain and spinal function in patients with osteoporotic thoracolumbar compression fracture(OVCF).Methods A total of 70 patients with OVCF admitted to the Second People's Hospi-tal of Jingdezhen from January 2021 to January 2022 were selected as the study subjects,and they were randomly divided into the PVP group and the manual reduction group,with 35 cases in each group.The PVP group was treated with conventional PVP,and the manual reduction group was treated with manual reduction percutaneous verteboplasty,the operation time,hospital stay,pain degree(visual analogue scale[VAS]),spinal function(Japa-nese Orthopaedic Association[JOA])and complications were compared between the two groups.Results The operative time and hospital stay in the manual reduction group were shorter than those in the PVP group,and the differences were statistically significant(P<0.05).After treatment,the anterior edge height of injured vertebrae of the two groups was lower than before treatment,and the kyphotic Cobb Angle was smaller than before treatment,and the anterior edge height of injured vertebrae in the manual reduction group was lower than that in the PVP group,and the kyphotic Cobb Angle was smaller than that in the PVP group,the differences were statistically significant(P<0.05).At 1 d,1 month,3 months and 6 months after treatment,the VAS scores of the two groups were lower than before treatment,and the manual reduction group was lower than the PVP group,the differences were statistically significant(P<0.05).At 1 d,1 month,3 months and 6 months after treatment,the JOA scores of the two groups were higher than before treatment,and the manipulative reduction group was higher than the PVP group,the differences were statistically significant(P<0.05).The complication rate of manual reduction group was 2.86%,which was lower than 22.86%in the PVP group,the difference was statisti-cally significant(P<0.05).Conclusion Manual reduction PVP is effect
作者
吴发科
谢敏波
吴越
WU Fake;XIE Minbo;WU Yue(Department of Orthopedics,The Second People's Hospital of Jingdezhen,Jingdezhen,Jiangxi,333000,China)
出处
《当代医学》
2024年第1期90-94,共5页
Contemporary Medicine
