中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
18期
21-22
,共2页
经皮椎体成形术%老年%骨质疏松%脊柱压缩骨折%临床探讨
經皮椎體成形術%老年%骨質疏鬆%脊柱壓縮骨摺%臨床探討
경피추체성형술%노년%골질소송%척주압축골절%림상탐토
Percutaneous vertebroplasty%Elderly%Osteoporosis%Spinal compression fracture%Clinical research
目的 探讨老年骨质疏松脊柱压缩骨折采用经皮椎体成形术治疗的临床效果.方法 选取漯河市中医院2013年5月至2014年5月收治的50例老年骨质疏松压缩骨折患者作研究对象,采用经皮椎体成形术治疗,回顾治疗前后临床资料.结果 术前、术后Cobb角、椎体中部高度和前缘高度丢失率比较,差异未见统计学意义(P＞0.05).术后疼痛程度评分明显低于术前,日常生活活动能力评分明显高于术前,差异均有统计学意义(P＜0.05).结论 老年骨质疏松脊柱压缩骨折采用经皮椎体成形术治疗,可促进临床症状改善,使患者日常生活活动能力提高,近期治疗效果较为理想,但在后凸畸形矫正、压缩椎体高度恢复方面,还有一定的研究空间,以最大程度地改善预后,保障患者生存质量.
目的 探討老年骨質疏鬆脊柱壓縮骨摺採用經皮椎體成形術治療的臨床效果.方法 選取漯河市中醫院2013年5月至2014年5月收治的50例老年骨質疏鬆壓縮骨摺患者作研究對象,採用經皮椎體成形術治療,迴顧治療前後臨床資料.結果 術前、術後Cobb角、椎體中部高度和前緣高度丟失率比較,差異未見統計學意義(P＞0.05).術後疼痛程度評分明顯低于術前,日常生活活動能力評分明顯高于術前,差異均有統計學意義(P＜0.05).結論 老年骨質疏鬆脊柱壓縮骨摺採用經皮椎體成形術治療,可促進臨床癥狀改善,使患者日常生活活動能力提高,近期治療效果較為理想,但在後凸畸形矯正、壓縮椎體高度恢複方麵,還有一定的研究空間,以最大程度地改善預後,保障患者生存質量.
목적 탐토노년골질소송척주압축골절채용경피추체성형술치료적림상효과.방법 선취탑하시중의원2013년5월지2014년5월수치적50례노년골질소송압축골절환자작연구대상,채용경피추체성형술치료,회고치료전후림상자료.결과 술전、술후Cobb각、추체중부고도화전연고도주실솔비교,차이미견통계학의의(P＞0.05).술후동통정도평분명현저우술전,일상생활활동능력평분명현고우술전,차이균유통계학의의(P＜0.05).결론 노년골질소송척주압축골절채용경피추체성형술치료,가촉진림상증상개선,사환자일상생활활동능력제고,근기치료효과교위이상,단재후철기형교정、압축추체고도회복방면,환유일정적연구공간,이최대정도지개선예후,보장환자생존질량.
Objective To investigate the clinical effect of percutaneous vertebroplasty on osteoporotic vertebral compression fractures.Methods Fifty cases of patients with osteoporotic compression fractures who were treated with percutaneous vertebroplasty in traditional Chinese medicine hospital of Luohe from May 2013 to May 2014 were selected as research subjects,and their clinical data before and after treatment were reviewed.Results Preoperative and postoperative Cobb angle,anterior height of the vertebral body height and central loss rate had no significant difference (P ＞ 0.05).Postoperative pain scores were significantly lower than the preoperative ADL score,they were significantly higher than before surgery (P ＜ 0.05).Conclusions Vertebral compression fractures treated by percutaneous vertebroplasty treatment can promote improvement of clinical symptoms and improve patients' activities of daily living;the short term treatment effect is ideal,but in terms of kyphosis correction and compression vertebral height restoration,there are certain research space to the greatest degree of improvement in the prognosis for protecting the quality of life of patients.
