| 经皮椎体后凸成形术配合正骨手法治疗骨质疏松性椎体压缩骨折伴裂隙样变 |
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| 引用本文： | 赵晓明,陈长春.经皮椎体后凸成形术配合正骨手法治疗骨质疏松性椎体压缩骨折伴裂隙样变[J].中国中西医结合外科杂志,2019,25(2):158-161. |
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| 作者姓名： | 赵晓明 陈长春 |
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| 作者单位： | 陕西省宝鸡市中心医院骨科（宝鸡 721008）,陕西省宝鸡市中心医院骨科（宝鸡 721008） |
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| 基金项目： | 陕西省社会发展科技攻关项目（2016SF-187） |
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| 摘 要： | 目的:比较经皮椎体后凸成形术(percutaneous kypho plasty,PKP)配合正骨手法治疗骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fractures,OVCF)伴椎体内裂隙样变(intravertebral vacuumcleft,IVC)的疗效。方法:选择OVCF伴IVC患者86例,按照随机数字表法分为治疗组和对照组,对照组给予PKP治疗,治疗组在对照组基础上给予正骨手法治疗。分别于术前、术后1周、术后1个月、术后6个月采用疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评价疼痛缓解及功能改善程度;采用影像学对伤椎高度、后凸Cobb角进行对比。结果:两组治疗前后椎前缘高度、Cobb角、VAS评分、ODI评分组间、治疗前后、交互作用经重复测量分析差异均有统计学意义(P0.001);两组渗漏率差异无统计学意义(χ~2=1.325,P=0.4330.05)。结论:PKP配合正骨手法治疗OVCF伴IVC,能够恢复椎体的顺应性、维持脊柱稳定性、提高患者生存质量,且安全性高。
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| 关 键 词： | 骨质疏松 椎体压缩骨折 裂隙样变 经皮椎体后凸成形术 正骨手法 |
Clinical Research on Percutaneous Kyphoplasty Combined with Bone-setting Manipulation in Treatment of Osteoporotic Vertebral Compression Fractures and Intravertebral Vacuumcleft |
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| ZHAO Xiao-ming and CHEN Chang-chun.Clinical Research on Percutaneous Kyphoplasty Combined with Bone-setting Manipulation in Treatment of Osteoporotic Vertebral Compression Fractures and Intravertebral Vacuumcleft[J].Chinese Journal of Surgery of Integrated Traditional and Western Medicine,2019,25(2):158-161. |
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| Authors: | ZHAO Xiao-ming and CHEN Chang-chun |
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| Institution: | Department of Orthopaedics, Baoji Central Hospital, Baoji (721008), China and Department of Orthopaedics, Baoji Central Hospital, Baoji (721008), China |
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| Abstract: | |
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| Keywords: | Osteoporosis vertebral compression fractures intravertebral vacuumcleft percutaneous kyphoplasty bone-setting manipulation |
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