CAJ | 학술논문

目的：评估经皮椎体后凸成形术对骨质疏松椎体压缩骨折的临床疗效。方法将50例骨质疏松椎体压缩骨折患者随机分为试验组与对照组，试验组患者采取经皮椎体后凸成形术治疗，对照组患者采取常规经皮椎体成形术治疗，比较两组患者视觉模拟评分（VAS）、Oswestry评分以及4项影像学指标（后凸角以及伤椎前缘、中线、后缘高度）变化。结果两组患者术后VAS评分均显著下降（P<0.05），但试验组下降幅度更大（P<0.05）；两组患者术后Oswestry评分均显著下降（P<0.05），但试验组下降幅度较对照组更大（P<0.05）；试验组患者后凸角以及伤椎前缘、中线、后缘高度术后均显著改善（P<0.05），而对照组手术前后差异无统计学意义（P＞0.05）。结论采用经皮椎体后凸成形术治疗骨质疏松椎体压缩骨折疗效优于经皮椎体成形术，但经皮椎体后凸成形术治疗成本高于经皮椎体成形术。今后应根据患者实际情况选择术式。
목적：평고경피추체후철성형술대골질소송추체압축골절적림상료효。방법장50례골질소송추체압축골절환자수궤분위시험조여대조조，시험조환자채취경피추체후철성형술치료，대조조환자채취상규경피추체성형술치료，비교량조환자시각모의평분（VAS）、Oswestry평분이급4항영상학지표（후철각이급상추전연、중선、후연고도）변화。결과량조환자술후VAS평분균현저하강（P<0.05），단시험조하강폭도경대（P<0.05）；량조환자술후Oswestry평분균현저하강（P<0.05），단시험조하강폭도교대조조경대（P<0.05）；시험조환자후철각이급상추전연、중선、후연고도술후균현저개선（P<0.05），이대조조수술전후차이무통계학의의（P＞0.05）。결론채용경피추체후철성형술치료골질소송추체압축골절료효우우경피추체성형술，단경피추체후철성형술치료성본고우경피추체성형술。금후응근거환자실제정황선택술식。
Objective To evaluate the clinical efficacies of percutaneous kyphoplasty (PKP) in treatment of osteoporotic vertebral fractures. Methods Fifty patients with osteoporotic vertebral fractures were randomly allocated to observational group and control group. The observational group received PKP treatment, and the controls were given conventional percutaneous vertebroplasty (PVP). Then the two groups were compared concerning the changes of Visual Analogue Score(VAS), Oswestry Disability Index and imaging findings(includ?ing changes at the posterior angular kyphosis, injured vertebral body, middle and posterior height). Results Both VAS scores and Oswestry scores were significantly lower in the two groups after treatment, yet the chang?es were more notable in observational group, with particular improvement on the posterior angular kyphosis, injured vertebral body, middle and posterior height(P<0.05). The control group remained no significant change compared to pre-treatment(P>0.05). Conclusion PKP has better curative effect, yet higher medical cost than PVP, for which the surgical option should rely on the patient’s condition.