CAJ | 학술논문

目的：应用单侧椎弓根入路和双侧椎弓根入路两种方法完成经皮球囊扩张椎体后凸成形术(PKP)治疗老年胸腰椎压缩性骨折，对2种方法的临床疗效进行比较分析。方法该院于2011年9月-2014年8月收治的64例老年胸腰椎压缩性骨折患者按手术入路不同，依次分为A组即采用单侧椎弓根入路者和B组即采用双侧椎弓根入路者，分别以术前术后VAS评分、椎体前缘高度、Cobb角变化作为临床评价指标，用SPSS13.0统计学软件进行统计学分析。结果AB各组的术后VAS评分分别较术前明显降低(P<0.05)，椎体前缘高度、脊柱后凸畸形Cobb角术后较术前均明显改善( P<0.05)；但A B两组术前术后VAS评分、伤椎前缘高度、Cobb角组间比较，差异无统计学意义(P>0.05)。结论临床研究进一步证实采用单侧椎弓根入路完成经皮球囊扩张椎体后凸成形术较双侧椎弓根入路可以获得同样理想的疗效。
목적：응용단측추궁근입로화쌍측추궁근입로량충방법완성경피구낭확장추체후철성형술(PKP)치료노년흉요추압축성골절，대2충방법적림상료효진행비교분석。방법해원우2011년9월-2014년8월수치적64례노년흉요추압축성골절환자안수술입로불동，의차분위A조즉채용단측추궁근입로자화B조즉채용쌍측추궁근입로자，분별이술전술후VAS평분、추체전연고도、Cobb각변화작위림상평개지표，용SPSS13.0통계학연건진행통계학분석。결과AB각조적술후VAS평분분별교술전명현강저(P<0.05)，추체전연고도、척주후철기형Cobb각술후교술전균명현개선( P<0.05)；단A B량조술전술후VAS평분、상추전연고도、Cobb각조간비교，차이무통계학의의(P>0.05)。결론림상연구진일보증실채용단측추궁근입로완성경피구낭확장추체후철성형술교쌍측추궁근입로가이획득동양이상적료효。
Objective Comparisons and analysis of the clinical effect between PKP through unilateral and bilateral extrapedicular approach on treating elderly thoracolumbar compression fractures. Methods In our hospital from 2011 September to 2014 August were treated 64 elderly patients with thoracolumbar compression fractures divided into 2 groups according to different surgical approach: A with unilateral extrapedicular approach, B with bilateral extrapedicular approach. Applied preoperative and postoperative VAS score, vertebral height and Cobb angle change as the indexes of clinical evaluation. And the results were analyzed by statistical software SPSS 13.0. Results Postoperative VAS scores are significantly lower than preoperative in both group (P<0.05)); postoperative vertebral height and Cobb angle of kyphosis are obviously improved compared with the preoperative ones (P<0.05); but comparing the preoperative and postoperative VAS score, the front edge of vertebral height and the Cobb angle between the two groups, the difference was no statistically significant (P>0.05). Conclusion Clinical studies confirm that compared with PKP through bilateral extrapedicular approach, PKP through unilateral extrapedicular approach can achieve the same desired effect.