CAJ | 학술논문

目的：探讨经皮椎体强化成型术治疗胸椎压缩性骨折的疗效。方法：随机选取经皮椎体强化成型术治疗的59例胸椎压缩性骨折患者（观察组）与给予保守治疗的56例胸椎压缩性骨折患者（对照组），比较两组患者治疗疗效与并发症之间的差异。结果：观察组患者手术过程顺利，术中平均出血量为（4.87±1.36）mL，骨水泥外溢率低达5.95％，无骨水泥松动、椎体再压缩现象，观察组治疗有效率为96.61％显著高于对照组（78.57％）（P＜0.05）；观察组患者在无疼痛、轻度疼痛、中度疼痛、重度疼痛所占比率分别为74.58％、25.42％、0％、0％，与对照组比较差异具有统计学意义（均P＜0.05）；观察组患者术后VAS评分、O’Brien活动能力评分、止痛药使用评分均显著低于术前观察组；且显著低于治疗后对照组（均P＜0.05）；两组患者术后无神经症状加重或其他神经症状、肺栓塞、气胸、再次骨折与感染的出现。结论：经皮椎体强化成形术治疗胸椎压缩性骨折的疗效佳，可迅速缓解疼痛，创伤小，并发症低，是一种有效安全的治疗方法。
목적：탐토경피추체강화성형술치료흉추압축성골절적료효。방법：수궤선취경피추체강화성형술치료적59례흉추압축성골절환자（관찰조）여급여보수치료적56례흉추압축성골절환자（대조조），비교량조환자치료료효여병발증지간적차이。결과：관찰조환자수술과정순리，술중평균출혈량위（4.87±1.36）mL，골수니외일솔저체5.95％，무골수니송동、추체재압축현상，관찰조치료유효솔위96.61％현저고우대조조（78.57％）（P＜0.05）；관찰조환자재무동통、경도동통、중도동통、중도동통소점비솔분별위74.58％、25.42％、0％、0％，여대조조비교차이구유통계학의의（균P＜0.05）；관찰조환자술후VAS평분、O’Brien활동능력평분、지통약사용평분균현저저우술전관찰조；차현저저우치료후대조조（균P＜0.05）；량조환자술후무신경증상가중혹기타신경증상、폐전새、기흉、재차골절여감염적출현。결론：경피추체강화성형술치료흉추압축성골절적료효가，가신속완해동통，창상소，병발증저，시일충유효안전적치료방법。
Objective:To study curative effect observation of Percutaneous vertebral strengthening keratoplasty in the treatment of thoracic spinal compression fractures.Methods:59 patients with thoracic compression fractures treated by percutaneous vertebral strengthening molding ( observation group ) and 56 patients with thoracic compression fractures given the conservative treatment ( control group) were randomly selected , the differences between the treatment efficacy and complications were compared.Results:Patients of the observation group operation smoothly , average intraoperative blood loss for ml (4.87 ±1.36)mL, bone cement spillover rate is low of 5.95%, no loosening , vertebral compression , effective rate of observation group is 96.61%, significantly higher than the control group (78.57%) (P <0.05);patients of observation group in the absence of pain , mild pain, mild pain, severe pain proportion re-spectively are 74.58%, 25.42%, 0% and 0%, with differences statistically significance compared with the control group ( P <0.05);patients of observation group with postoperative VAS score , O 'brien activity ability score , pain scores are significantly lower than group before operation;and significantly lower than control group ( all P <0.05 ); all patients havn ’ t postoperative neurologic symptoms aggravate or other neurological symptoms , pulmonary embolism , pneumothorax , fracture and infection again.Conclusion:Curative effect of percutaneous vertebral strengthening for treatment of thoracic spinal compression fractures is well ,it can rapidly relieve pain, has small trauma and low complication , it’ s safe and effective treatment method.