CAJ | 학술논문

目的：观察中西医结合非手术治疗与椎体成形术和椎体后凸成形术治疗骨质疏松性椎体压缩骨折患者的中长期生存质量。方法采取回顾性研究的方法，收集2006年1月～2008年12月在广东省中医院住院治疗的骨质疏松性椎体压缩骨折患者108例，其中非手术治疗者55例，椎体成形术治疗者53例。以生活质量问卷SF-36量表及视觉直观模拟量表（Visual Analogue Scale， VAS）为测评量表，对比非手术治疗和椎体成形术、椎体后凸成形术治疗超过3年后的生活质量，并观察再骨折的发生率。结果治疗后到随访时间平均50.59个月（36～69个月），SF-36量表评分的生理机能、生理职能、情感职能上非手术组为优于手术组，两组间比较有统计学意义（P值均＜0.05），其余各维度无统计学意义。 VAS评分上非手术组为优于手术组，两组间对比有统计学意义，（P值＜0.05）。结论就中长期生存质量及疼痛改善程度来看，非手术治疗组优于手术组，且再骨折发生率较低，提示临床工作中要严格把握骨质疏松性椎体压缩骨折患者手术指征。
목적：관찰중서의결합비수술치료여추체성형술화추체후철성형술치료골질소송성추체압축골절환자적중장기생존질량。방법채취회고성연구적방법，수집2006년1월～2008년12월재광동성중의원주원치료적골질소송성추체압축골절환자108례，기중비수술치료자55례，추체성형술치료자53례。이생활질량문권SF-36량표급시각직관모의량표（Visual Analogue Scale， VAS）위측평량표，대비비수술치료화추체성형술、추체후철성형술치료초과3년후적생활질량，병관찰재골절적발생솔。결과치료후도수방시간평균50.59개월（36～69개월），SF-36량표평분적생리궤능、생리직능、정감직능상비수술조위우우수술조，량조간비교유통계학의의（P치균＜0.05），기여각유도무통계학의의。 VAS평분상비수술조위우우수술조，량조간대비유통계학의의，（P치＜0.05）。결론취중장기생존질량급동통개선정도래간，비수술치료조우우수술조，차재골절발생솔교저，제시림상공작중요엄격파악골질소송성추체압축골절환자수술지정。
Objective To observe medium and long-term quality of life of non-surgical treatment and vertebral plasty in patients with osteoporotic vertebral compression fractures.Methods A retrospective study was performed.A total of 108 patients with osteoporotic vertebral compression fractures, who were hospitalized in Guangdong Provincial Hospital of TCM from January 2006 to December 2006, were selected, including 55 patients with non-operative treatment and 53 patients received vertebral plasty.A SF-36 scale and VAS scale were used, in order to compare the quality of life after non-operative treatment or vertebral plasty for more than 3 years after the treatment.The incidence of re-fractures was observed.Results The average follow-up was 50.59 months (36-69 months).According to the SF-36 scale, the physiological function, physical functioning, and role-emotional were better in non-surgical group than those in vertebral plasty group (P<0.05).In other dimensions, no significant difference was observed.The VAS score in non-surgical group was also better than that in vertebral plasty group (P <0.05).Conclusion Considering the medium and long-term quality of life and pain relief, the efficacy in non-surgical treatment group is superior to that in the vertebral plasty group, and the incidence of re-fractures is much lower, which indicates that strictly observing the surgical indication is important in clinical work.