CAJ | 학술논문

　　目的比较单侧及双侧经皮椎体后凸成形术治疗骨质疏松椎体压缩性骨折的疗效。方法选择2010年1月～2013年1月我院收治的60例中老年骨质疏松性椎体压缩性骨折患者，分为两组，分别采用单侧及双侧经皮椎体后凸成形术治疗，比较治疗效果。结果观察组手术时间、术中出血量及骨水泥灌注量均明显短（少）于对照组，两组患者术后的椎体高度、局部Cobb角、VAS评分及ODI评分均较术前明显改善，但两组间比较差异不显著。结论单侧经皮椎体后凸成形术具有手术时间短、创伤小等优点，更适宜中老年患者的选择。
　　목적비교단측급쌍측경피추체후철성형술치료골질소송추체압축성골절적료효。방법선택2010년1월～2013년1월아원수치적60례중노년골질소송성추체압축성골절환자，분위량조，분별채용단측급쌍측경피추체후철성형술치료，비교치료효과。결과관찰조수술시간、술중출혈량급골수니관주량균명현단（소）우대조조，량조환자술후적추체고도、국부Cobb각、VAS평분급ODI평분균교술전명현개선，단량조간비교차이불현저。결론단측경피추체후철성형술구유수술시간단、창상소등우점，경괄의중노년환자적선택。
Objective To compare the curative effect of unilateral and bilateral percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fractures. Methods 60 senior cases with osteoporotic vertebral compression fractures in our hospital from January 2010 to January 2013 were selected and divided equally into two groups with unilateral and bilateral percutaneous kyphoplasty treatment respectively.The curative effect of two groups were compared. Results The operative time,blood loss and bone cement perfusion in the observation group were significantly shorter (less) than those in the control group.The postoperative vertebral height,local Cobb angle,VAS scores and ODI scores of patients in two groups after the operation were improved more significantly than that before the operation,but the difference between two groups was not significant. Conclusion Unilateral percutaneous kyphoplasty has the advantages of shorter operation time,less trauma,and is more suitable for senior patients'selection.