CAJ | 학술논문

目的：探讨经皮椎体成形术（PVP）治疗老年性椎体骨折的临床疗效。方法选择我院2010年1月~2014年1月收治入院的采用经皮椎体成形术进行治疗的骨质疏松的胸腰椎骨折的患者203例作为观察组，另选择我院往期采用保守治疗的200例患者作为对照组，所有患者分别于治疗前、治疗后1、4、12、24、48周进行疼痛评分，随访并记录患者治疗后1年内再发椎体骨折的情况。比较两组患者术后疼痛缓解及再发椎体压缩性骨折的风险。结果203例患者均获得随访，单侧手术约20例，双侧手术约135例，多节段的10例，观察组治疗后1、4、12周总疼痛缓解评分明显高于对照组，差异有统计学意义（P＜0.05）；观察组治疗后1、4、12周夜间休息疼痛缓解评分明显高于对照组，差异有统计学意义（P＜0.05）。结论经皮椎体成形术后缓解疼痛，提高治疗效果。减少并发症，值得临床上推广应用。
목적：탐토경피추체성형술（PVP）치료노년성추체골절적림상료효。방법선택아원2010년1월~2014년1월수치입원적채용경피추체성형술진행치료적골질소송적흉요추골절적환자203례작위관찰조，령선택아원왕기채용보수치료적200례환자작위대조조，소유환자분별우치료전、치료후1、4、12、24、48주진행동통평분，수방병기록환자치료후1년내재발추체골절적정황。비교량조환자술후동통완해급재발추체압축성골절적풍험。결과203례환자균획득수방，단측수술약20례，쌍측수술약135례，다절단적10례，관찰조치료후1、4、12주총동통완해평분명현고우대조조，차이유통계학의의（P＜0.05）；관찰조치료후1、4、12주야간휴식동통완해평분명현고우대조조，차이유통계학의의（P＜0.05）。결론경피추체성형술후완해동통，제고치료효과。감소병발증，치득림상상추엄응용。
Objective To explore clinical curative effects of percutaneous vertebral plastic operation(PVP)in the treatment of senile vertebral fractures.Methods203 patients with osteoporotic thoracolumbar fracture who were admitted to our hospital from January 2010 and January 2014 to receive the treatment of percutaneous vertebral plastic operation were selected as the observation group. 200 patients who were received conservative treatment were selected as the control group. All patients were received pain scores respectively one week, four weeks, twelve weeks and forty-eight weeks before and after treatment. Patients were given follow-ups and recurrence of vertebral fractures within one year after the treatment was recorded. Postoperative pain relief and recurrence risk of vertebral compression fractures of two groups were compared.Results 203 patients were given follow-ups of 165 cases, of which, about 20 patients were received unilateral operation, about 135 patients were received bilateral operation and 10 patients were received multi-segmental operation. Pain relief scores one week, four weeks and twelve weeks after the treatment in the observation group were all significantly higher than those in the control group. The difference was statistically significant(P<0.05). Pain relief score of night rest one week, four weeks and twelve weeks after the treatment in the observation group were all significantly higher than those in the control group. The difference was statistically significant(P<0.05).ConclusionPercutaneous vertebral plastic operation can relieve pain, improve curative effects and reduce complications which is worthy of clinical promotion and application.