CAJ | 학술논문

目的：探讨在骨质疏松椎体压缩性骨折中改良经皮椎体成形术的应用效果。方法选取骨质疏松椎体压缩性骨折患者97例，26例采取传统经皮椎体成形术为PVP组；39例采取经皮椎体后凸成形术为PKP组；32例采取改良经皮椎体成形术为改良PVP组,记录三组患者的VAS评分、后凸cobb角改善情况及渗漏率。结果三组患者手术后1周时间、手术后6个月时的VAS评分均较手术前有显著的改善（P＜0.05），组间差异无统计学意义（P＞0.05）；PKP组和改良PVP组的cobb角改善情况显著优于PVP组（P＜0.05）；改良PVP组的渗漏率显著低于PVP组和PKP组（P＜0.05）；PVP组和PKP组渗漏率对比差异无统计学意义（P＞0.05）。结论改良PVP能缓减疼痛，同时可降低渗漏率，值得临床推广。
목적：탐토재골질소송추체압축성골절중개량경피추체성형술적응용효과。방법선취골질소송추체압축성골절환자97례，26례채취전통경피추체성형술위PVP조；39례채취경피추체후철성형술위PKP조；32례채취개량경피추체성형술위개량PVP조,기록삼조환자적VAS평분、후철cobb각개선정황급삼루솔。결과삼조환자수술후1주시간、수술후6개월시적VAS평분균교수술전유현저적개선（P＜0.05），조간차이무통계학의의（P＞0.05）；PKP조화개량PVP조적cobb각개선정황현저우우PVP조（P＜0.05）；개량PVP조적삼루솔현저저우PVP조화PKP조（P＜0.05）；PVP조화PKP조삼루솔대비차이무통계학의의（P＞0.05）。결론개량PVP능완감동통，동시가강저삼루솔，치득림상추엄。
ObjectiveTo explore the effect of modified percutaneous vertebroplasty in the treatment of osteoporotive vertebral compression fracture.Methods 97 patients with osteoporotive vertebral compression fracture were selected. 26 patients in PVP group received conventional percutaneous vertebroplasty; 39 patients in PKP group received percutaneous kyphoplasty; 32 patients in modified PVP group received modified percutaneous vertebroplasty. VAS scores, improvement of kyphosis Cobb angle and leakage rate in the three groups were observed.Results VAS scores in 1 week and 6 months after the surgery in all the three groups significantly improved compared to those before the surgery(P<0.05), and the differences between groups were not statistically significant(P>0.05); improvement of Cobb angle in PKP group and modified PVP group was significantly better than that in the PVP group (P<0.05); leakage rate in modified PVP group was significantly lower than that in PVP and PKP group (P<0.05); differences of leakage rate in PVP and PKP group were not statistically significant (P>0.05).ConclusionModified percutaneous vertebroplasty helps alleviate pain and lower the leakage rate, which is worthy of clinical promotion.