摘要
目的探讨经皮椎体后凸成形术(PKP)治疗椎体骨质疏松致椎体压缩骨折的临床效果。方法按照入院顺序将2011年1月至2013年7月收治的91例椎体骨质疏松致椎体压缩性骨折患者分为PKP组(45例)和PVP组(46例),PKP组采用经皮椎体后凸成形术治疗,PVP组采用经皮椎体成形术治疗,比较2组患者治疗后的VAS评分、Cobb角、椎体高度、ODI评分等指标的变化情况。结果 PKP组患者的评价2手术时间(38.4±8.2)min、骨水泥注入量(6.1±1.8)ml均显著大于PVP组,但骨水泥渗漏椎体数显著的低于PVP组(P<0.05)。术前PKP组和PVP组的VAS评分、Cobb角、椎体高度、ODI评分差异无统计学意义(P>0.05);术后1周、术后6个月2组患者的VAS评分较治疗前均显著的降低(P<0.05),2组间差异无统计学意义(P>0.05);术后6个月,PKP组的Cobb角(17.1±1.6)度、椎体高度(78.9±7.2)mm、ODI评分(14.2±2.5)分均显著的优于同期PVP组患者(P<0.05)。结论对于椎体骨质疏松致椎体压缩性骨折患者采用PVP与PKP均能够取得较好的疗效,但PKP对于术后椎体高度恢复、Cobb角恢复、功能恢复等效果更加显著。
Objective To investigate the therapeutic effects of percutaneous kyphoplasty （PKP） on osteoporotic vertebral compression fractures. Methods According to the order of admission to Department of Orthopedics, the 91 patient with osteoporotic vertebral compression fractures who were admitted and treated in our hospital from January 2011 to July 2013 were divided into PKP group （ n = 45 ） and PVP group （ n = 46）. The patients in PKP group were treated by percutaneous kyphoplasty （PKP） ,however,ihe patients in PVP group were treated by percutaneous vertebroplasty （PVP）, after treatment, the VAS score, Cobb angle, vertebral height, ODI score were detected and compared between two groups. Results The operation time （38.4± 8.2） min, bone cement injection volume （6.1 ± 1.8 ） ml in PKP group were significantly greater than those in PVP group, however, the number of vertebral body of bone cement seepage ＊：as obviously less than that in PVP group （ P 〈 0.05）. Before treatment, there were no significant differences in VAS score, Cobb angle, vertebral height, ODI score between two groups （ P 〉0.05）,however, the VAS scores on lw,6m after operation were significantly decreased in both groups, as compared with those before treatment （ P 〈 0. 05 ）, but there were no significant differences between two groups （P 〉0.05）. On 6 months after operation, the Cobb angle （17. 1 ± 1.6）, vertebral height （78.9 ± 7; 2）mm,ODI score （ 14.2± 2.5 points） in PKP group were superior to those of PVP group （ P 〈 0. 05）. Conclusion Both PVP and PKP have better therapeutic effects on osteoporotic vertebral compression fractures, but PKP has more obvious effects on postoperative recovery of vertebral height, Cobb angle and function recovery.
出处
《河北医药》
CAS
2016年第15期2267-2269,共3页
Hebei Medical Journal
基金
湖北省自然科学基金资助项目(编号:2012CDB07702)
