CAJ | 학술논문

目的：研究经皮椎体成形术(PVP)和经皮球囊扩张椎体后凸成形术(PKP)治疗老年脊柱压缩性骨折的效果。方法选取本院2010年2月~2013年6月收治的老年脊柱压缩性骨折患者70例为研究对象，其中观察组35例，采用PVP，对照组35例，采用PKP。观察两组术后12周及1年的治疗情况。结果观察组显效17例，有效15例，无效3例，总有效率为91.4%，对照组显效18例，有效13例，无效4例，总有效率为88.6%，两组总有效率比较差异无统计学意义(P>0.05)。术后12周及1年，两组VAS评分较治疗前显著下降(P<0.05)，两组BI评分较治疗前显著升高(P<0.05)，两组VAS评分及BI评分比较差异无统计学意义(P>0.05)。观察组术前及术后患椎前缘高度及Cobb角比较差异无统计学意义(P>0.05)；对照组术前及术后患椎前缘高度及Cobb角比较差异有统计学意义(P<0.05)；术后12周及1年，两组患椎前缘高度及Cobb角比较差异有统计学意义(P<0.01)。结论 PVP和PKP治疗老年压缩性骨折患者均可恢复患者的日常生活，明显减轻疼痛，且PKP在纠正椎体后凸畸形及患椎前缘高度的疗效更为显著。
목적：연구경피추체성형술(PVP)화경피구낭확장추체후철성형술(PKP)치료노년척주압축성골절적효과。방법선취본원2010년2월~2013년6월수치적노년척주압축성골절환자70례위연구대상，기중관찰조35례，채용PVP，대조조35례，채용PKP。관찰량조술후12주급1년적치료정황。결과관찰조현효17례，유효15례，무효3례，총유효솔위91.4%，대조조현효18례，유효13례，무효4례，총유효솔위88.6%，량조총유효솔비교차이무통계학의의(P>0.05)。술후12주급1년，량조VAS평분교치료전현저하강(P<0.05)，량조BI평분교치료전현저승고(P<0.05)，량조VAS평분급BI평분비교차이무통계학의의(P>0.05)。관찰조술전급술후환추전연고도급Cobb각비교차이무통계학의의(P>0.05)；대조조술전급술후환추전연고도급Cobb각비교차이유통계학의의(P<0.05)；술후12주급1년，량조환추전연고도급Cobb각비교차이유통계학의의(P<0.01)。결론 PVP화PKP치료노년압축성골절환자균가회복환자적일상생활，명현감경동통，차PKP재규정추체후철기형급환추전연고도적료효경위현저。
Objective To study effect of percutaneous vertebroplasty and percutaneous kyphoplasty in the treatment of elderly spinal compression fracture. Methods 70 cases of elderly patients with spinal compression fracture were select-ed as objects,percutaneous vertebroplasty was used in observation group (35 cases),percutaneous kyphoplasty was ap-plied in control group (35 cases).The clinical efficacy of two groups after surgery of 12 weeks and 1 year was observed respectively. Results 17 cases were markedly effective,15 cases were effective,3 cases were invalid,total effective rate was 91.4% in observation group,18 cases were markedly effective,13 cases were effective,4 cases were invalid,total ef-fective rate was 88.6% in control group.Total effective rate in two groups was compared,with no staistical difference(P>0.05).After surgery of 12 weeks and 1 year,VAS score in two groups was significantly lower than that before surgery re-spectively (P<0.05),BI score in two groups was significantly higher than that before surgery respectively (P<0.05),VAS and BI score in two groups was compared respectively,with no staistical difference(P>0.05).Anterior vertebral height and Cobb angle in observation group before and after surgery was compared respectively,with no staistical difference (P>0.05).Anterior vertebral height and Cobb angle in control group before and after surgery was compared respectively,with staistical difference (P<0.05).After surgery of 12 weeks and 1 year,anterior vertebral height and Cobb angle in two groups was compared respectively,with staistical difference (P<0.01). Conclusion Percutaneous vertebroplasty and per-cutaneous kyphoplasty in the treatment of elderly spinal compression fracture can rebuild the ability of patients’ daily lives,significantly reduce the pain,and percutaneous kyphoplasty has significant effect in vertebral kyphosis correction.