中华诊断学电子杂志
中華診斷學電子雜誌
중화진단학전자잡지
Chinese Journal of Diagnostics (Electronic Edition)
2015年
4期
279-281
,共3页
经皮椎体后凸成形术%经皮椎体成形术%骨质疏松性骨折
經皮椎體後凸成形術%經皮椎體成形術%骨質疏鬆性骨摺
경피추체후철성형술%경피추체성형술%골질소송성골절
Percutaneous kyphoplasty%Percutaneous vertebroplasty%Osteoporotic vertebral fractures
目的:探讨经皮椎体后凸成形术(PKP)和经皮椎体成形术(PVP)两种术式对骨质疏松性脊柱骨折患者椎体高度、Cobb角及疼痛强度的影响。方法选择2010年2月至2013年3月胶州市人民医院骨科,收治的40例骨质疏松性脊柱骨折患者作为研究对象,按照随机数字表分为观察组与对照组。对照组20例患者,采用PVP术式进行治疗;观察组20例患者,采用PKP 治疗。比较PKP和PVP两种术式的椎体高度、Cobb角及视觉模拟评分( VAS)。结果手术后6个月,观察组患者的VAS评分、椎体高度以及Cobb角分别为(1.32±0.69)分、(1.93±0.25)cm、(16.43±5.23)°,均优于对照组患者[(3.13±0.99)分,(1.67±0.23)cm,(21.09±5.68)°],差异有统计学意义(t =2.74,2.94,3.11;P<0.05)。结论采用PKP治疗骨质疏松性骨折,不但可以有效缓解老年骨质疏松脊柱骨折患者的疼痛程度,而且更有利于患者的椎体高度恢复以及后凸畸形的纠正,促进患者的预后恢复,其治疗效果明显优于PVP,值得临床应用。
目的:探討經皮椎體後凸成形術(PKP)和經皮椎體成形術(PVP)兩種術式對骨質疏鬆性脊柱骨摺患者椎體高度、Cobb角及疼痛彊度的影響。方法選擇2010年2月至2013年3月膠州市人民醫院骨科,收治的40例骨質疏鬆性脊柱骨摺患者作為研究對象,按照隨機數字錶分為觀察組與對照組。對照組20例患者,採用PVP術式進行治療;觀察組20例患者,採用PKP 治療。比較PKP和PVP兩種術式的椎體高度、Cobb角及視覺模擬評分( VAS)。結果手術後6箇月,觀察組患者的VAS評分、椎體高度以及Cobb角分彆為(1.32±0.69)分、(1.93±0.25)cm、(16.43±5.23)°,均優于對照組患者[(3.13±0.99)分,(1.67±0.23)cm,(21.09±5.68)°],差異有統計學意義(t =2.74,2.94,3.11;P<0.05)。結論採用PKP治療骨質疏鬆性骨摺,不但可以有效緩解老年骨質疏鬆脊柱骨摺患者的疼痛程度,而且更有利于患者的椎體高度恢複以及後凸畸形的糾正,促進患者的預後恢複,其治療效果明顯優于PVP,值得臨床應用。
목적:탐토경피추체후철성형술(PKP)화경피추체성형술(PVP)량충술식대골질소송성척주골절환자추체고도、Cobb각급동통강도적영향。방법선택2010년2월지2013년3월효주시인민의원골과,수치적40례골질소송성척주골절환자작위연구대상,안조수궤수자표분위관찰조여대조조。대조조20례환자,채용PVP술식진행치료;관찰조20례환자,채용PKP 치료。비교PKP화PVP량충술식적추체고도、Cobb각급시각모의평분( VAS)。결과수술후6개월,관찰조환자적VAS평분、추체고도이급Cobb각분별위(1.32±0.69)분、(1.93±0.25)cm、(16.43±5.23)°,균우우대조조환자[(3.13±0.99)분,(1.67±0.23)cm,(21.09±5.68)°],차이유통계학의의(t =2.74,2.94,3.11;P<0.05)。결론채용PKP치료골질소송성골절,불단가이유효완해노년골질소송척주골절환자적동통정도,이차경유리우환자적추체고도회복이급후철기형적규정,촉진환자적예후회복,기치료효과명현우우PVP,치득림상응용。
Objective To compare the clinical efficacy of percutaneous kyphoplasty ( PKP ) and percutaneous vertebroplasty (PVP) in patients with osteoporotic vertebral fractures.Methods Forty patients with osteoporotic vertebral fractures were treated in People′s Hospital of Jiaozhou from February 2010 to March 2013,of which the control group of twenty cases was treated by PVP surgical treatment, while the observation group of twenty patients was treated by PKP treatment.Results Six months after surgery,VAS score,vertebral height and Cobb angle in the observation group were (1.32±0.69),(1.93±0.25)cm and (16.43±5.23)°respectively,which were all improved than those in the control group[(3.13±0.99),(1.67± 0.23)cm,(21.09±5.68)°],and the differences between the two groups were statistically significant (t =2.74, 2.94,3.11;P < 0.05) . Conclusions PKP has very important effect on the treatment of osteoporotic fractures,not only effectively alleviating the degree of pain in elderly patients with osteoporosis, but also benefiting vertebral height restoration and kyphosis correction,promoting the recovery prognosis of patients. The treatment effect of PKP is superior to PVP,and it is worth of clinical application.