CAJ | 학술논문

目的：探讨骨质疏松脊柱压缩性骨折手术的临床价值。方法选取收治的骨质疏松脊柱压缩性骨折患者72例，随机分为PVP组和PKP组各36例，观察组给予PVP治疗，对照组给予PKP治疗。比较两组临床疗效。结果治疗后两组VAS、Oswestry及椎体高度均有改善，但PKP组椎体高度明显优于PVP组，差异具有统计学意义（P＜0．05）；PKP组手术时间及骨水泥注射量均明显高于PVP组，差异具有统计学意义（P＜0．05）；PVP组骨水泥渗漏率明显高于PKP组，差异具有统计学意义（P＜0．05）。结论 PVP与PKP两种手术均能改善患者症状，缓解疼痛，均为治疗骨质疏松脊柱压缩性骨折的有效方式。
목적：탐토골질소송척주압축성골절수술적림상개치。방법선취수치적골질소송척주압축성골절환자72례，수궤분위PVP조화PKP조각36례，관찰조급여PVP치료，대조조급여PKP치료。비교량조림상료효。결과치료후량조VAS、Oswestry급추체고도균유개선，단PKP조추체고도명현우우PVP조，차이구유통계학의의（P＜0．05）；PKP조수술시간급골수니주사량균명현고우PVP조，차이구유통계학의의（P＜0．05）；PVP조골수니삼루솔명현고우PKP조，차이구유통계학의의（P＜0．05）。결론 PVP여PKP량충수술균능개선환자증상，완해동통，균위치료골질소송척주압축성골절적유효방식。
Objective To investigate the clinical value of surgical treatment for osteoporotic verte-bral compression fractures. Methods 72 patients with osteoporotic vertebral compression fractures were randomly divided into PVP group and PKP group with 36 cases in each group. The obser-vation group was treated with PVP, and the control group was treated with PKP. To compare the clinical effect of the two groups. Results The two groups of vas and Oswestry and vertebral heights were improved after treatment in, but PKP group vertebral height was significantly better than that in the PVP group, the difference has statistical significance (P<0.05); PKP group opera-tion time and bone cement injection volume were significantly higher than those in the PVP group, the difference has statistical significance (P<0.05); PVP group of bone cement leakage rate was significantly higher than that of the PKP group, the difference is statistically significant (P<0.05). Conclusions PVP and PKP two can improve the symptoms of patients, relieve pain, and are effective ways for the treatment of osteoporotic vertebral compression fractures.