CAJ | 학술논문

目的：探讨经皮椎体后凸成形术(PKP)与保守治疗骨质疏松导致椎体压缩性骨折的临床效果。方法选择2013年1月至2014年1月在我院骨科治疗的骨质疏松性椎体压缩性骨折患者44例，其中行(PKP)治疗20例(观察组），保守治疗24例(对照组），分析比较两组治疗前及治疗后1周，1月，3月，6月的视觉疼痛评分(VAS)及椎体高度恢复，同时比较下地活动时间，住院天数及并发症方面的差别。结果两组患者VAS评分术前和术后6个月比较无统计学意义(P>0.05)，但在1周，3个月有统计学意义(P<0.05)，并且具有下地活动时间早，住院时间短，并发症少的优势，但费用较高。结论两种方法治疗骨质疏松性椎体压缩性骨折的远期疗效均能达到很好的效果，但PKP治疗的短期疗效明显优于保守治疗，又可早期下床活动，减少并发症的发生，值得临床医生应用推广。
목적：탐토경피추체후철성형술(PKP)여보수치료골질소송도치추체압축성골절적림상효과。방법선택2013년1월지2014년1월재아원골과치료적골질소송성추체압축성골절환자44례，기중행(PKP)치료20례(관찰조），보수치료24례(대조조），분석비교량조치료전급치료후1주，1월，3월，6월적시각동통평분(VAS)급추체고도회복，동시비교하지활동시간，주원천수급병발증방면적차별。결과량조환자VAS평분술전화술후6개월비교무통계학의의(P>0.05)，단재1주，3개월유통계학의의(P<0.05)，병차구유하지활동시간조，주원시간단，병발증소적우세，단비용교고。결론량충방법치료골질소송성추체압축성골절적원기료효균능체도흔호적효과，단PKP치료적단기료효명현우우보수치료，우가조기하상활동，감소병발증적발생，치득림상의생응용추엄。
objective Discussion of the protruding after percutaneous vertebral plasty (PKP holds) and conservative treatment the clinical effect of lead to osteoporosis vertebral compression fractures;Methods Choose between January 2013 and January 2013 in our hospital orthopaedic treatment of 44 patients with osteoporotic vertebral compression fractures, including line (PKP) treatment of 20 cases (observation group) and 24 cases of conservative treatment (control group),compared the two groups before treatment and after treatment 1 week, 1 month, 3 month, 6 month visual pain score (VAS) and vertebral height restoration, time is down at the same time, a difference in hospitalization days and complications;Results: two groups of VAS score in patients with preoperative and postoperative 6 months is no statistical significance (P > 0.05), but in 1 week, 3 months was statistical y significant (P < 0.05), and have engaged in activities earlier, shorter hospitalization time, the advantages of less complications, but higher cost;Conclusion Two methods of treatment of osteoporotic vertebral compression fractures of the forward curative effect can achieve very good effect, but the short-term efficacy of PKP holds the treatment is superior to conservative treatment, and early ambulation, reduce complications, worthy of clinical doctors application promotion.