中国民族民间医药
中國民族民間醫藥
중국민족민간의약
CHINESE JOURNAL OF ETHNOMEDICINE AND ETHNOPHARMACY
2015年
9期
100-102
,共3页
椎体成形术%保守治疗%胸腰椎椎体压缩骨折
椎體成形術%保守治療%胸腰椎椎體壓縮骨摺
추체성형술%보수치료%흉요추추체압축골절
Vertebroplasty%conservative treatment%thoracolumbar vertebral compression fractures%Efficacy
目的：观察经皮椎体成形术治疗胸腰椎椎体压缩性骨折患者的近期疗效。方法：回顾性分析91例胸腰椎椎体压缩骨折患者的病例资料，分为 PVP 组与保守组，其中 PVP 组46例，保守治疗组45例。应用 VAS 量表评分评估疼痛程度缓解情况，应用 Oswestry 功能障碍指数[1]评估患者治疗后功能恢复情况，分别记录两组病例的入院时、24h、2周、6周、3个月、6个月的 VAS 评分和 ODI 评分，记录两组病例的骨密度、住院天数、恢复正常下地负重时间、并发症，记录治疗前、治疗后6个月 Cobb 角变化，统计分析两组病例的临床疗效、并发症及半年后 Cobb 角变化的差异性。结果：PVP 组治疗后24h、2周、6周 VAS 评分优于保守治疗组（P ＜0．05），治疗后24h、2周、6周、3个月两组间 ODI 评分优于保守组（P ＜0．05）；PVP 组的并发症发生率（4．35％）低于保守治疗组（11．11％）；半年后 PVP 组Cobb 角变化优于保守治疗组（P ＜0．05）。结论：PVP 能够快速缓解疼痛，患者功能恢复快，手术安全性较高，并发症发生率、继发性脊柱后凸畸形发生率低于保守治疗组，近期临床疗效确切。
目的：觀察經皮椎體成形術治療胸腰椎椎體壓縮性骨摺患者的近期療效。方法：迴顧性分析91例胸腰椎椎體壓縮骨摺患者的病例資料，分為 PVP 組與保守組，其中 PVP 組46例，保守治療組45例。應用 VAS 量錶評分評估疼痛程度緩解情況，應用 Oswestry 功能障礙指數[1]評估患者治療後功能恢複情況，分彆記錄兩組病例的入院時、24h、2週、6週、3箇月、6箇月的 VAS 評分和 ODI 評分，記錄兩組病例的骨密度、住院天數、恢複正常下地負重時間、併髮癥，記錄治療前、治療後6箇月 Cobb 角變化，統計分析兩組病例的臨床療效、併髮癥及半年後 Cobb 角變化的差異性。結果：PVP 組治療後24h、2週、6週 VAS 評分優于保守治療組（P ＜0．05），治療後24h、2週、6週、3箇月兩組間 ODI 評分優于保守組（P ＜0．05）；PVP 組的併髮癥髮生率（4．35％）低于保守治療組（11．11％）；半年後 PVP 組Cobb 角變化優于保守治療組（P ＜0．05）。結論：PVP 能夠快速緩解疼痛，患者功能恢複快，手術安全性較高，併髮癥髮生率、繼髮性脊柱後凸畸形髮生率低于保守治療組，近期臨床療效確切。
목적：관찰경피추체성형술치료흉요추추체압축성골절환자적근기료효。방법：회고성분석91례흉요추추체압축골절환자적병례자료，분위 PVP 조여보수조，기중 PVP 조46례，보수치료조45례。응용 VAS 량표평분평고동통정도완해정황，응용 Oswestry 공능장애지수[1]평고환자치료후공능회복정황，분별기록량조병례적입원시、24h、2주、6주、3개월、6개월적 VAS 평분화 ODI 평분，기록량조병례적골밀도、주원천수、회복정상하지부중시간、병발증，기록치료전、치료후6개월 Cobb 각변화，통계분석량조병례적림상료효、병발증급반년후 Cobb 각변화적차이성。결과：PVP 조치료후24h、2주、6주 VAS 평분우우보수치료조（P ＜0．05），치료후24h、2주、6주、3개월량조간 ODI 평분우우보수조（P ＜0．05）；PVP 조적병발증발생솔（4．35％）저우보수치료조（11．11％）；반년후 PVP 조Cobb 각변화우우보수치료조（P ＜0．05）。결론：PVP 능구쾌속완해동통，환자공능회복쾌，수술안전성교고，병발증발생솔、계발성척주후철기형발생솔저우보수치료조，근기림상료효학절。
Objective To observe the short -term effects of percutaneous vertebroplasty treatment of osteoporotic thoracolumbar ver-tebral compression fracture patients.Methods A retrospective analysis 91 cases of osteoporotic thoracolumbar vertebral compression frac-ture patients,divided into PVP group and conservative treatment,application visual analogue scale to assess the degree of pain relief of score,application Oswestry Disability Index to assess the recovery of function in patients after treatment,when two groups of patients were recorded on admission,24 hours,2 weeks,6 weeks,3 months,6 months,VAS score and ODI scores,two cases of bone density recording,length of stay,time to resume normal weight -bearing ambulation,complications,recorded before treatment and after 6 months of treatment Cobb angle change,statistical analysis of the clinical efficacy of two groups of patients,the complications and six months after the change of Cobb angle difference.Results PVP group comparison with a statistically significant 24 hours after treatment,2 weeks,6 weeks VAS score group (P <0.05),24 hours after treatment,2 weeks,6 weeks,3 months ODI score comparison between the two groups was statistically significant (P <0.05),the complication rate PVP group (4.35%)lower than the conservative treatment group (11.11%),six months after the Cobb angle change PVP group comparison with conservative treatment group difference was statis-tically (P <0.05).Conclusion PVP can quickly relieve pain,restore function in patients with fast,high security operative complication rate,secondary kyphosis was lower than the conservative treatment group,recent clinical curative effect.
