中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2013年
34期
5-6
,共2页
老年患者%OCF%FCF%VP
老年患者%OCF%FCF%VP
노년환자%OCF%FCF%VP
Elderly patients%Old compression fracture%Freshcompression fractures%Vertebroplasty
目的：探讨椎体成形术(vertebroplasty，VP)在老年陈旧性(old compression fractures，OCF)以及新鲜性压缩骨折(fresh compression fractures， FCF)中的治疗作用以及疗效。方法：2010年1月-2012年12月笔者所在医院共收治274例骨质疏松型胸腰椎压缩骨折(osteoporotic vertebral thoracolumbar compression fracture，OVTCF)老年患者，按骨折时间分为OCF组(n=100)与FCF组(n=174)，对比两组患者治疗前后椎体前缘的压缩高度、脊柱后凸的Cobb角，以及疼痛视觉模拟量表(VAS)评分。结果：两组患者术后恢复较好，并未发生严重并发症。两组术后椎体前缘的压缩高度和恢复率，以及脊柱后凸的Cobb角度和矫正率与手术前比较，差异均有统计学意义(P<0.05)，两组术后各指标比较，差异有统计学意义(P<0.05)。两组术后3 d及1个月VAS评分与术前比较，术后1个月与术后3 d比较，差异均有统计学意义(P<0.05)；两组术后3 d与1个月VAS评分比较，差异均无统计学意义(P>0.05)。结论：VP治疗老年OCF以及FCF均有较好疗效，可有效恢复患者椎体前缘的压缩高度和矫正脊柱的后凸角度，还可有效缓解患者疼痛，尤其对FCF有更好疗效。
目的：探討椎體成形術(vertebroplasty，VP)在老年陳舊性(old compression fractures，OCF)以及新鮮性壓縮骨摺(fresh compression fractures， FCF)中的治療作用以及療效。方法：2010年1月-2012年12月筆者所在醫院共收治274例骨質疏鬆型胸腰椎壓縮骨摺(osteoporotic vertebral thoracolumbar compression fracture，OVTCF)老年患者，按骨摺時間分為OCF組(n=100)與FCF組(n=174)，對比兩組患者治療前後椎體前緣的壓縮高度、脊柱後凸的Cobb角，以及疼痛視覺模擬量錶(VAS)評分。結果：兩組患者術後恢複較好，併未髮生嚴重併髮癥。兩組術後椎體前緣的壓縮高度和恢複率，以及脊柱後凸的Cobb角度和矯正率與手術前比較，差異均有統計學意義(P<0.05)，兩組術後各指標比較，差異有統計學意義(P<0.05)。兩組術後3 d及1箇月VAS評分與術前比較，術後1箇月與術後3 d比較，差異均有統計學意義(P<0.05)；兩組術後3 d與1箇月VAS評分比較，差異均無統計學意義(P>0.05)。結論：VP治療老年OCF以及FCF均有較好療效，可有效恢複患者椎體前緣的壓縮高度和矯正脊柱的後凸角度，還可有效緩解患者疼痛，尤其對FCF有更好療效。
목적：탐토추체성형술(vertebroplasty，VP)재노년진구성(old compression fractures，OCF)이급신선성압축골절(fresh compression fractures， FCF)중적치료작용이급료효。방법：2010년1월-2012년12월필자소재의원공수치274례골질소송형흉요추압축골절(osteoporotic vertebral thoracolumbar compression fracture，OVTCF)노년환자，안골절시간분위OCF조(n=100)여FCF조(n=174)，대비량조환자치료전후추체전연적압축고도、척주후철적Cobb각，이급동통시각모의량표(VAS)평분。결과：량조환자술후회복교호，병미발생엄중병발증。량조술후추체전연적압축고도화회복솔，이급척주후철적Cobb각도화교정솔여수술전비교，차이균유통계학의의(P<0.05)，량조술후각지표비교，차이유통계학의의(P<0.05)。량조술후3 d급1개월VAS평분여술전비교，술후1개월여술후3 d비교，차이균유통계학의의(P<0.05)；량조술후3 d여1개월VAS평분비교，차이균무통계학의의(P>0.05)。결론：VP치료노년OCF이급FCF균유교호료효，가유효회복환자추체전연적압축고도화교정척주적후철각도，환가유효완해환자동통，우기대FCF유경호료효。
Objective:To investigate the clinical efficacy of vertebroplasty of old and fresh compression fractures in elderly patients.Method:A total of 274 cases of aged osteoporotic thoracolumbar compression fractures from January 2010 to December 2012 in our hospital were selected as the observation objects.These patients were divided into the old fracture group(n=100) and the fresh fracture group(n=174) according to the fracture time.Indicators of patients in the two groups were compared, including height of the vertebral body compression,the spinal anterior kyphotic Cobb angle,and the pain visual analogue scale(VAS) score before and after the treatment.Result:All patients in the two groups recovered well,and didn’t have serious complications.Compared with indicators before the operation,indicators after the operation in the two groups improved significantly(P<0.05),including anterior vertebral compression height,recovery rate,kyphosis Cobb angle,and correction rate.That in the fresh fracture group improved more than that in the old fracture group significantly(P<0.05).Compared with VAS before the operation, VAS of patients in the two groups after 3 days and one month were significantly decreased(P<0.05).VAS of patients in each group after 3 days and one month were significantly different(P<0.05).But there were no significant differences between that in two groups after 3 days and one month (P>0.05).Conclusion:Vertebroplasty in the treatment of old and fresh compression fractures in elderly patients has better effect,can effectively restore the height of anterior vertebral compression,correct kyphosis angle,and relieve pain of patients,especially has better efficacy of fresh vertebral compression fractures.
