经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的临床效果观察

目的探讨经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的临床效果。方法收集本科2011年10月～2014年2月收治的60例骨质疏松性椎体压缩性骨折患者作为研究对象，均采用经皮椎体后凸成形术治疗，比较术前、术后1d疼痛视觉类比评分（VAS），伤椎前缘高度及Cobb角的变化，并观察其临床效果。结果所有患者术前VAS评分为（6．7±1．1）分，术后评分为（2．3±0．7）分，差异有统计学意义（P〈0．05）；伤椎角度增加及Cobb角恢复情况与术前比较，差异有统计学意义（P〈0．01）；术中骨水泥渗漏4例4个椎体。结论经皮椎体后凸成形术在骨质疏松性椎体压缩性骨折的治疗中的应用效果良好，可迅速缓解患者腰背部疼痛，值得临床推广使用。

Clinical effect observation of percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture

Objective To explore clinical effect of percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture. Methods 60 cases with osteoporotic vertebral compression fracture from October 2011 to Febru- ary 2014 in our hospital were selected as research object.All patients were treated with percutaneous kyphoplasty,pain visual analogue scale （VAS） in pre-operation and postoperative 1 day,changes in vertebral body height and Cobb angle were compared,clinical effect was observed. Results VAS scores of all patients in pre-operation was （6.7±1.1）points,and VAS scores in postoperation was （2.3±0.7）points,there was significant difference（P〈0.05）.Condition of The injured ver- tebra Angle and Cobb angle was compared between before and after operation,there was significant difference （P〈0.01）. In operation,4 vertebral body bone cement in 4 cases was leaked. Conclusion Application effect of the percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture is good,can rapidly relieve back pain pa- tients,it is worthy of clinical promotion and application.