大众科技
大衆科技
대음과기
DAZHONG KEJI
2015年
3期
111-112
,共2页
保守治疗%经皮穿刺椎体成形术%骨质疏松骨折
保守治療%經皮穿刺椎體成形術%骨質疏鬆骨摺
보수치료%경피천자추체성형술%골질소송골절
conservative treatment%percutaneous vertebroplasty%osteoporosis fractures
观察保守治疗和经皮穿刺椎体成形术（ percutaneous vertebroplasty,PVP ）治疗骨质疏松性脊柱压缩骨折（osteoporosis vertebral compression fracture,OVCF）患者的疗效。方法：收集2013年1月～2014年12月广西中医药大学第一附属医院，经胸腰椎MRI、腰椎CTQ诊断为骨质疏松脊柱压缩性骨折的患者60例，根据随机数表方法，将所有患者随机分为2组。A组：保守治疗组30例；B组：椎体成形术治疗组30例。记录各组患者的年龄、性别、住院时间、VAS评分，并对以上观察指标进行统计学分析。结果：所有患者均成功完成手术和分组，无神经损伤、大出血及死亡病例，随访半年后，年龄、性别、术前VAS评分在A组、B组组间对比均无统计学意义（P>0.05）；术后第1天、第3天、终末随访VAS评分，住院时间在A组与B组方面对比，提示差异有显著性（P<0.05）。结论：保守治疗和椎体成形术在治疗骨质疏松性脊柱压缩性骨折方面，两者均能起到满意治疗效果，但椎体成形术在改善患者疼痛症状及缩短住院时间方面明显优于保守治疗，是值得推广的治疗方式。
觀察保守治療和經皮穿刺椎體成形術（ percutaneous vertebroplasty,PVP ）治療骨質疏鬆性脊柱壓縮骨摺（osteoporosis vertebral compression fracture,OVCF）患者的療效。方法：收集2013年1月～2014年12月廣西中醫藥大學第一附屬醫院，經胸腰椎MRI、腰椎CTQ診斷為骨質疏鬆脊柱壓縮性骨摺的患者60例，根據隨機數錶方法，將所有患者隨機分為2組。A組：保守治療組30例；B組：椎體成形術治療組30例。記錄各組患者的年齡、性彆、住院時間、VAS評分，併對以上觀察指標進行統計學分析。結果：所有患者均成功完成手術和分組，無神經損傷、大齣血及死亡病例，隨訪半年後，年齡、性彆、術前VAS評分在A組、B組組間對比均無統計學意義（P>0.05）；術後第1天、第3天、終末隨訪VAS評分，住院時間在A組與B組方麵對比，提示差異有顯著性（P<0.05）。結論：保守治療和椎體成形術在治療骨質疏鬆性脊柱壓縮性骨摺方麵，兩者均能起到滿意治療效果，但椎體成形術在改善患者疼痛癥狀及縮短住院時間方麵明顯優于保守治療，是值得推廣的治療方式。
관찰보수치료화경피천자추체성형술（ percutaneous vertebroplasty,PVP ）치료골질소송성척주압축골절（osteoporosis vertebral compression fracture,OVCF）환자적료효。방법：수집2013년1월～2014년12월엄서중의약대학제일부속의원，경흉요추MRI、요추CTQ진단위골질소송척주압축성골절적환자60례，근거수궤수표방법，장소유환자수궤분위2조。A조：보수치료조30례；B조：추체성형술치료조30례。기록각조환자적년령、성별、주원시간、VAS평분，병대이상관찰지표진행통계학분석。결과：소유환자균성공완성수술화분조，무신경손상、대출혈급사망병례，수방반년후，년령、성별、술전VAS평분재A조、B조조간대비균무통계학의의（P>0.05）；술후제1천、제3천、종말수방VAS평분，주원시간재A조여B조방면대비，제시차이유현저성（P<0.05）。결론：보수치료화추체성형술재치료골질소송성척주압축성골절방면，량자균능기도만의치료효과，단추체성형술재개선환자동통증상급축단주원시간방면명현우우보수치료，시치득추엄적치료방식。
To observe the conservative treatment and percutaneous vertebroplasty(percutaneous vertebroplasty, PVP) treatment of osteoporotic vertebral compression fractures (osteoporosis vertebral compression fracture, OVCF) patient outcomes. Methods:January 2013--2014 60 patients in December, First Affiliated Hospital of Guangxi University of Western medicine, the thoracic and lumbar MRI, and lumbar spine CTQ diagnosed as osteoporotic compression fractures, according to a random number table method, All patients were randomly divided into two groups. Group A:conservative treatment group of 30 patients;group B:vertebroplasty treatment group of 30 patients. Record each group age, gender, disease duration, VAS scores, and more outcome measures were statistically analyzed. Results:All patients were successfully completed surgery and grouping, no nerve damage, bleeding and death cases, follow-up after six months, before the age, gender, preoperative VAS score between group A and group B comparison group was not statistically significant (P>0.05 );postoperative day 1, the first three days, final follow VAS score, duration of group A and group B in terms of contrast, suggesting there was a significant difference (P <0.05). Conclusion: conservative treatment and vertebroplasty in the treatment of osteoporotic vertebral compression fractures, both of which can play a satisfactory therapeutic effect, but vertebroplasty in improving pain symptoms and shorten the length of hospital stay was superior to conservative therapy, treatment should be promoted.
