不同术式治疗骨质疏松性胸腰椎骨折的效果分析

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1、不同术式治疗骨质疏松性胸腰椎骨折的效果分析［摘要］目的探讨经皮椎体成形术（PVP）和经皮椎体后凸成形术（PKP）治疗骨质疏松性胸腰椎骨折（OVCF）的效果。方法将我院2008年5月〜2014年12月收治的128例OVCF患者随机分为PVP组、PKP组，每组64例，PVP组和PKP组分别给予PVP和PKP治疗，观察两组患者手术前后视觉模拟评分（VAS）、椎体高度压缩率及Cobb角的变化。术后半年进行随访，观察两组患者生活质量及术后并发症的情况。结果与术前比较，术后两组患者疼痛情况均明显改善（P0.05）。

2、PVP组患者手术前、后椎体高度压缩率分别为（29.9±0.7）%、（22.9±7.8）%，PKP组手术前、后分别为（30.0±0.9）%、（16.6±8.4）%，与术前比较，两组术后椎体高度压缩率均降低（P0.05）。PVP组术后并发症发生率为18.8%，PKP组为10.9%,两组比较差异有统计学意义（P［关键词］骨质疏松性椎体压缩骨折；经皮椎体后凸成形术；经皮椎体成形术；视觉模拟评分；椎体高度压缩率［中图分类号］R683.2［文献标识码］A［文章编号］1674-4721(2016)05(a)-0071

3、-04EffectsanalysisofdifferentoperationintreatingosteoporoticvertebralcompressionfractureSUNCheng-shuaiTheSecondOrthopedicsDepartment，CentralHospitalofChaoyangCityinLiaoningProvince，Chaoyang122000，China[Abstract]ObjectiveToexploretheeffectsofpercutaneousv

4、ertebroplasty(PVP)andpercutaneouskyphoplasty(PKP)intreatingosteoporoticvertebralcompressionfracture(OVCF).Methods128OVCFpatientsfromMay2008toDecember2014ofourhospitalwererandomlydividedintoPVPgroupandPKPgroup.Eachgroupwas64cases.PatientsinPVPgroupandPKPg

5、roupwasrespectivelygivenPVPandPKP.Thevisualanaloguescale(VAS)，compressionratioofvertebralheightandchangesofCobbangleintwogroupsbeforeandafteroperationwereobserved.Livingqualityandcomplicationsafteroperationwereobservedforsixmonthsfollow-up.ResultsCompare

6、dwithpre-operation，thepainsituationintwogroupsimprovedobviouslyafteroperation(P0.05).ThecompressionratioofvertebralheightbeforeandafteroperationinPVPgroupwasrespectively(29.9±0.7)o/oand(22.9土7.8)%,whichwasrespectively(30.0±0.9)%and(16.6±8.4)%inPKPgroup.T

7、hecompressionratioofvertebralheightafteroperationintwogroupsdecreasedcomparedwithbeforeoperationandthedifferenceafteroperationbetweentwogroupshadobviousstatisticalsignificance(P0.05).TheincidencerateofpostoperativecomplicationsinPVPgroupwas18.8%,whichwas

8、10.9%inPKPgroupandthedifferencehadstatisticalsignificance(P[Keywords]Osteoporoticvertebralcompressionfracture；Percutaneouskyphoplasty；Percutaneousvertebroplasty；Visualanaloguescale；Compressionratioofvertebralheight随着社会的老龄化