摘要
目的针对老年骨质疏松性椎体压缩性骨折(OVCF)应用不同术式治疗的效果进行统一的分析、研究。方法研究在120例病例样本中进行,收录时间限制为2020年2月~2022年7月,并确保所选患者均为本院接受治疗的OVCF患者,入组后由于研究需要根据随机数字表法设置两组,各60例。A组与B组分别接受不同的术式进行治疗分别为经皮椎体成形术(PVP)、经皮弯角椎体成形术(PCVP)治疗。将B组与A组的各项指标进行比较分析。结果B组的手术时间(37.83±5.31)min较A组的手术时间(42.51±5.26)min更短(P<0.05)。B组的术中出血量、X线曝光次数、骨水泥用量较A组的术中出血量、X线曝光次数、骨水泥用量更少(P<0.05)。B组的骨水泥填充优良率(95.00%)较A组的骨水泥填充优良率(78.33%)更高(P<0.05)。术后3个月,A组与B组的视觉模拟评分法(VAS)评分、Oswestry功能障碍指数问卷表(ODI)评分相较于术前均处于更低水平,Barthel指数相较于术前处于更高水平,且B组VAS评分、ODI评分相较于A组处于更低水平,Barthel指数相较于A组处于更高水平(P<0.05)。术后3个月,A组与B组的伤椎椎体前缘高度比相较于术前均增大,伤椎Cobb角、椎体压缩率相较于术前均缩小,且B组伤椎椎体前缘高度比相较于A组更大,伤椎Cobb角、椎体压缩率相较于A组均更小(P<0.05)。结论临床上在对老年OVCF患者手术方式的选择中,应用PCVP进行治疗可有效减少术中出血量和骨水泥用量,提高骨水泥填充效果,降低疼痛程度,改善腰椎功能,促进患者病情快速恢复,提升日常生活活动能力。
Objective To analyze and study the effects of different surgical treatments for osteoporotic vertebral compression fractures(OVCF)in the elderly.Methods The study was conducted in 120 case samples,and the enrollment time was limited from February 2020 to July 2022,and it was ensured that all the selected patients were OVCF patients treated in our hospital.After entering the group,two groups were set up according to the random number table method,and the number of people in each group was 60.The group A and the group B received different surgical procedures,including percutaneous vertebroplasty(PVP)and percutaneous corner vertebroplasty(PCVP).The indexes of the group B and the group A were compared and analyzed.Results The operative time of(37.83±5.31)min in the group B was shorter than that of(42.51±5.26)min in the group A(P<0.05).Comparison of intraoperative blood loss,X-ray exposure times and bone cement dosage between the group A and the group B,the latter was obviously less(P<0.05).The excellent and good rate of bone cement filling in the group B(95.00%)was higher than that in the group A(78.33%)(P<0.05).At 3 months after surgery,the visual analogue scale(VAS)score and Oswestry disability index(ODI)score of group A and group B were at a lower level compared to those before surgery,and the Barthel index was at a higher level compared to that before surgery;and VAS score and ODI score in the group B were at a lower level compared to those in the group A,and Barthel index was at a higher level compared to that in the group A(P<0.05).At 3 months after surgery,the ratio of anterior vertebral height of injured vertebra in the group A and the group B was increased compared to that before surgery,and the Cobb angle of injured vertebra and vertebral compression ratio were decreased compared to those before surgery in this group;the ratio of anterior vertebral height of injured vertebra in the group B was increased compared to that in the group A;the Cobb angle of injured vertebra and vertebral compression ratio in the group B were decreased compared to those in the group A;the difference was statistically significant(P<0.05).Conclusion In the choice of surgical methods for elderly patients with OVCF,PCVP can effectively reduce the amount of bleeding and bone cement during operation,improve the excellent rate of bone cement filling,reduce the intensity of pain,improve the lumbar function,promote the rapid recovery of the disease and improve the activities of daily living.
作者
潘宏亮
PAN Hong-liang(Tongshan Hospital of Traditional Chinese Medicine,Xuzhou 221000,China)
出处
《中国实用医药》
2023年第24期58-61,共4页
China Practical Medicine
关键词
骨质疏松性椎体压缩性骨折
经皮弯角椎体成形术
经皮椎体成形术
腰椎功能
Osteoporotic vertebral compression fractures
Percutaneous curved vertebroplasty
Percutaneous vertebroplasty
Lumbar function
