CAJ | 학술논문

目的回顾性比较单侧经皮球囊后凸成形术(PKP)与双侧经皮球囊椎体后凸成形术治疗骨质疏松性椎体压缩骨折的临床疗效.方法 56例患者分为单侧PKP组31例与双侧PKP组25例,累及椎体90个.在X线监测下,对病椎行单侧球囊后凸成形术或双侧球囊后凸成形术.采用VAS评分、Oswestry功能障碍评价指数及测量椎体高度丢失率及恢复率对患者手术效果进行比较.结果两组手术患者术后疼痛均缓解,患者随访6～21个月.两组术后VAS评分与Oswestry功能障碍指数比较无显著行差异.结论单侧与双侧PKP术治疗老年骨质疏松脊柱压缩骨折均可获得满意疗效、术前可根据患者病情选择手术方法可取得良好疗效.
목적 회고성비교단측경피구낭후철성형술(PKP)여쌍측경피구낭추체후철성형술치료골질소송성추체압축골절적림상료효.방법 56례환자분위단측PKP조31례여쌍측PKP조25례,루급추체90개.재X선감측하,대병추행단측구낭후철성형술혹쌍측구낭후철성형술.채용VAS평분、Oswestry공능장애평개지수급측량추체고도주실솔급회복솔대환자수술효과진행비교.결과 량조수술환자술후동통균완해,환자수방6～21개월.량조술후VAS평분여Oswestry공능장애지수비교무현저행차이.결론 단측여쌍측PKP술치료노년골질소송척주압축골절균가획득만의료효、술전가근거환자병정선택수술방법가취득량호료효.
Objective To retreospectively compare the clinical outcome of unilateral or bilateral percutaneous kyphoplasty treatment of osteoporotic compression fractures vertebrae. Methods 56 patients were divided into 31 cases of unilateral PKP group and 25 cases of bilateral PKP group, involving a total of 90 vertebral fracture body. Underwent percutaneous kyphoplasty with unilateral or bilateral percutaneous kyphoplasty. we used the Oswestry disability index(ODI) and visual analogue scale(VAS) and the clinical indexs to measure the clinical outcome. Results After surgery two groups of patients were immediately release the pain. all patients were Follow-up by 6 ～ 21 months. In postioperation, two groups of patients of 0 swestry and VAS score were improved and were no significant difference. Conclusion Unilateral or bilateral percutaneous kyphoplasty for painful osteoporotic vertebral body fractures is effective and safe.