CAJ | 학술논문

目的：探讨并比较微创手术和传统开放手术治疗骨质疏松性脊柱压缩性骨折的临床效果。方法选取本院2012年1月~2014年1月收治的骨质疏松性脊柱压缩性骨折患者60例，随机分为观察组和对照组各30例，对照组行传统开放手术治疗，观察组行经皮椎体后凸成形术(PKP)治疗，比较两组的治疗效果。结果观察组手术时间、术后下床活动时间及住院时间短于对照组，术中出血量少于对照组，差异有统计学意义(P<0.05)；观察组术后椎体高度、椎体压缩率及Cobb角的改善情况均明显优于对照组，差异有统计学意义(P<0.05)；观察组无一例患者出现严重并发症，对照组并发症发生率为13.33%，两组并发症发生率差异有统计学意义(P<0.05)；观察组日常活动能力评分明显高于对照组，差异有统计学意义(P<0.05)。结论与传统开放手术比较，微创PKP治疗骨质疏松性脊柱压缩性骨折具有创伤小、恢复快、并发症少等优势，并可显著改善患者的日常活动能力，提高预后。
목적：탐토병비교미창수술화전통개방수술치료골질소송성척주압축성골절적림상효과。방법선취본원2012년1월~2014년1월수치적골질소송성척주압축성골절환자60례，수궤분위관찰조화대조조각30례，대조조행전통개방수술치료，관찰조행경피추체후철성형술(PKP)치료，비교량조적치료효과。결과관찰조수술시간、술후하상활동시간급주원시간단우대조조，술중출혈량소우대조조，차이유통계학의의(P<0.05)；관찰조술후추체고도、추체압축솔급Cobb각적개선정황균명현우우대조조，차이유통계학의의(P<0.05)；관찰조무일례환자출현엄중병발증，대조조병발증발생솔위13.33%，량조병발증발생솔차이유통계학의의(P<0.05)；관찰조일상활동능력평분명현고우대조조，차이유통계학의의(P<0.05)。결론여전통개방수술비교，미창PKP치료골질소송성척주압축성골절구유창상소、회복쾌、병발증소등우세，병가현저개선환자적일상활동능력，제고예후。
Objective To study and compare the clinical effect of minimally invasive surgery and traditional open surgery in the treatment of osteoporotic vertebral compression fractures. Methods 60 cases of patients with osteoporotic vertebral compression fractures in our hospital from January 2012 to January 2014 were selected and randomly divided into control group and observation group,conventional open surgery was taken to the control group,percutaneous kypho-plasty (PKP) was given to the observation group,the effects of two groups were compared. Results The operation time, ambulation time and hospitalization time of observation group were shorter than those of control group,blood loss were less than that of control group,the differences were significant (P<0.05);The improvement of vertebral body height,verte-bral compression ratio and Cobb angle of observation group were better than those of control group,the differences were significant (P<0.05);There were no serious complications in the observation group,and the incidence of complication in the control group was 13.33%,the complication rate between the two groups had significant difference (P<0.05);The ac-tivities of daily living score in the observation group was higher than that of control group,the difference was significant (P<0.05). Conclusion Compared with traditional open surgery,minimally PKP for treatment of osteoporotic vertebral compression fractures has less trauma,quicker recovery,fewer complications and other advantages,and significantly im-prove patients’activities of daily living and improve prognosis.