中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
13期
5-6
,共2页
经皮椎体成形术( PVP)%经皮椎体后凸成形术( PKP)%骨质疏松性椎体压缩骨折
經皮椎體成形術( PVP)%經皮椎體後凸成形術( PKP)%骨質疏鬆性椎體壓縮骨摺
경피추체성형술( PVP)%경피추체후철성형술( PKP)%골질소송성추체압축골절
Percutaneous vertebral plasty ( PVP)%Percutaneous vertebral plasty ( PKP)%Osteoporotic vertebral compression frac-tures
目的:探讨和比较经皮椎体成形术与椎体后凸成形术治疗骨质疏松性椎体压缩骨折术后疼痛及生活质量改变的情况。方法:回顾性分析2010年11月~2012年11月我科收治的58例骨质疏松性椎体压缩骨折患者。其中PVP治疗组32例,40椎体;PKP治疗组26例,28椎体。术后随访6个~18个月,平均13个月。结果:手术前后,2组病例的疼痛视觉模拟评分( VAS)与生活质量评分SF~36的差异较大(P<0.05),有统计学意义;而2组间的VAS与SF~36的差异不大(P>0.05),无统计学意义。结论:采用PVP与PKP治疗骨质疏松性椎体压缩骨折,二者均能够迅速在术后缓解患者疼痛及使患者生活质量得到改善;相对而言,PVP操作简单,手术时间短,疗效确切且价格便宜,更利于推广应用。
目的:探討和比較經皮椎體成形術與椎體後凸成形術治療骨質疏鬆性椎體壓縮骨摺術後疼痛及生活質量改變的情況。方法:迴顧性分析2010年11月~2012年11月我科收治的58例骨質疏鬆性椎體壓縮骨摺患者。其中PVP治療組32例,40椎體;PKP治療組26例,28椎體。術後隨訪6箇~18箇月,平均13箇月。結果:手術前後,2組病例的疼痛視覺模擬評分( VAS)與生活質量評分SF~36的差異較大(P<0.05),有統計學意義;而2組間的VAS與SF~36的差異不大(P>0.05),無統計學意義。結論:採用PVP與PKP治療骨質疏鬆性椎體壓縮骨摺,二者均能夠迅速在術後緩解患者疼痛及使患者生活質量得到改善;相對而言,PVP操作簡單,手術時間短,療效確切且價格便宜,更利于推廣應用。
목적:탐토화비교경피추체성형술여추체후철성형술치료골질소송성추체압축골절술후동통급생활질량개변적정황。방법:회고성분석2010년11월~2012년11월아과수치적58례골질소송성추체압축골절환자。기중PVP치료조32례,40추체;PKP치료조26례,28추체。술후수방6개~18개월,평균13개월。결과:수술전후,2조병례적동통시각모의평분( VAS)여생활질량평분SF~36적차이교대(P<0.05),유통계학의의;이2조간적VAS여SF~36적차이불대(P>0.05),무통계학의의。결론:채용PVP여PKP치료골질소송성추체압축골절,이자균능구신속재술후완해환자동통급사환자생활질량득도개선;상대이언,PVP조작간단,수술시간단,료효학절차개격편의,경리우추엄응용。
Objective:To study comparing percutaneous vertebral plasty and protruding after vertebral plasty treatment of osteoporotic vertebral compression fractures of postoperative pain and the change of life quality clinical research .Methods:the clinical data in Novem-ber 2010 -November 2012 to accept patients with vertebral plasty , 58 cases.The PVP treatment group 32 cases, 40 vertebral body;PKP holds the treatment group (26 cases, 28 vertebral body .Postoperative follow -up 6 to 18 months, an average of 13 months.Results:Observe two groups of pain after the operation , visual analogue scale ( VAS) and quality of life score SF -36 compared with preoperative difference was statistically significant (P <0.05);The VAS and SF -36 comparative differences between the two groups has no statisti-cal significance ( P >0.05) .Conclusion:using PVP and PKP holds the treatment of osteoporotic vertebral compression fractures ,both can quickly after surgery to alleviate patient's pain and make the patients quality of life improved;PVP relatively simple operation , short operation time, curative effect and the price cheap , more conducive to the popularization and application .