南昌大学学报（医学版）
南昌大學學報（醫學版）
남창대학학보（의학판）
ACTA ACADEMIAE MEDICINAE JIANGXI
2014年
10期
62-64,101
,共4页
胸腰椎压缩性骨折%经皮球囊扩张椎体后凸成形术%椎弓根螺钉内固定术%疗效%老年人
胸腰椎壓縮性骨摺%經皮毬囊擴張椎體後凸成形術%椎弓根螺釘內固定術%療效%老年人
흉요추압축성골절%경피구낭확장추체후철성형술%추궁근라정내고정술%료효%노년인
thoracolumbar compression fracture%percutaneous balloon kyphoplasty%pedicle screw fixation%curative effects%elderly
目的：比较经皮球囊扩张椎体后凸成形术、椎弓根螺钉内固定术及保守治疗对胸腰椎压缩性骨折的临床疗效。方法将92例胸腰椎压缩性骨折患者按治疗方法的不同分为3组：A 组26例，行经皮球囊扩张椎体后凸成形术；B 组35例，行椎弓根螺钉内固定术；C 组31例，行保守治疗。比较3组治疗前，治疗1周后和治疗1年后伤椎椎体前壁高度的压缩率、伤椎椎体后凸畸形角度的情况，并对3组治疗前，治疗1周后和治疗1年后疼痛情况进行评分[采用视觉模拟评分（VAS）]。结果A 组治疗1周后 VAS 得分明显低于 B、C 组，C 组治疗1年后 VAS 得分明显高于 A、B 组，A、B 组治疗1周后伤椎椎体前壁高度的压缩率均明显低于 C 组，B、C 组治疗1年后伤椎椎体前壁高度的压缩率均明显高于 A 组，A、B 2组治疗1周后、治疗1年后伤椎椎体后凸畸形角度均较 C 组减少，A 组治疗1年后伤椎椎体后凸畸形角度较 B 组减少（均 P ＜0．05）。结论经皮球囊扩张椎体后凸成形术既能迅速缓解患者伤椎处疼痛，又能防止术后伤椎椎体高度和脊柱矫正角度的丢失，是一种治疗胸腰椎压缩性骨折的较理想方法。
目的：比較經皮毬囊擴張椎體後凸成形術、椎弓根螺釘內固定術及保守治療對胸腰椎壓縮性骨摺的臨床療效。方法將92例胸腰椎壓縮性骨摺患者按治療方法的不同分為3組：A 組26例，行經皮毬囊擴張椎體後凸成形術；B 組35例，行椎弓根螺釘內固定術；C 組31例，行保守治療。比較3組治療前，治療1週後和治療1年後傷椎椎體前壁高度的壓縮率、傷椎椎體後凸畸形角度的情況，併對3組治療前，治療1週後和治療1年後疼痛情況進行評分[採用視覺模擬評分（VAS）]。結果A 組治療1週後 VAS 得分明顯低于 B、C 組，C 組治療1年後 VAS 得分明顯高于 A、B 組，A、B 組治療1週後傷椎椎體前壁高度的壓縮率均明顯低于 C 組，B、C 組治療1年後傷椎椎體前壁高度的壓縮率均明顯高于 A 組，A、B 2組治療1週後、治療1年後傷椎椎體後凸畸形角度均較 C 組減少，A 組治療1年後傷椎椎體後凸畸形角度較 B 組減少（均 P ＜0．05）。結論經皮毬囊擴張椎體後凸成形術既能迅速緩解患者傷椎處疼痛，又能防止術後傷椎椎體高度和脊柱矯正角度的丟失，是一種治療胸腰椎壓縮性骨摺的較理想方法。
목적：비교경피구낭확장추체후철성형술、추궁근라정내고정술급보수치료대흉요추압축성골절적림상료효。방법장92례흉요추압축성골절환자안치료방법적불동분위3조：A 조26례，행경피구낭확장추체후철성형술；B 조35례，행추궁근라정내고정술；C 조31례，행보수치료。비교3조치료전，치료1주후화치료1년후상추추체전벽고도적압축솔、상추추체후철기형각도적정황，병대3조치료전，치료1주후화치료1년후동통정황진행평분[채용시각모의평분（VAS）]。결과A 조치료1주후 VAS 득분명현저우 B、C 조，C 조치료1년후 VAS 득분명현고우 A、B 조，A、B 조치료1주후상추추체전벽고도적압축솔균명현저우 C 조，B、C 조치료1년후상추추체전벽고도적압축솔균명현고우 A 조，A、B 2조치료1주후、치료1년후상추추체후철기형각도균교 C 조감소，A 조치료1년후상추추체후철기형각도교 B 조감소（균 P ＜0．05）。결론경피구낭확장추체후철성형술기능신속완해환자상추처동통，우능방지술후상추추체고도화척주교정각도적주실，시일충치료흉요추압축성골절적교이상방법。
Objective To compare the clinical effects of percutaneous balloon kyphoplasty,ped-icle screw fixation and conservative therapy on thoracolumbar compression fractures in elderly pa-tients.Methods Ninety-two patients with thoracolumbar compression fractures were treated with percutaneous balloon kyphoplasty(group A,n= 26),pedicle screw fixation(group B,n= 35)or conservative therapy(group C,n=31).The compression rate of anterior wall height and the ky-phosis angle of the compressed vertebral body were observed and the visual analogue scale(VAS) was used for the assessment of pain intensity before and after treatment for 1 week and 1 year. Results After treatment for 1 week,VAS score in group A was lower than that in group B or C, compression rate of anterior wall height in group A or B was lower than that in group C,and ky-phosis angle in group A or B was smaller than that in group C(P <0.05).After treatment for 1 year,VAS score in group C was significantly higher than that in group A or B,compression rate of anterior wall height in group B or C was lower than that in group A,kyphosis angle in group A or B was smaller than that in group C,and kyphosis angle in group A was smaller than that in group B(P <0.05).Conclusion Percutaneous balloon kyphoplasty is an ideal treatment for quickly re-lieving the pain and preventing the loss of vertebral body height and kyphosis angle of the com-pressed vertebral body in elderly patients with thoracolumbar compression fractures.
