椎体后凸成形术与药功疗法治疗骨质疏松性椎体压缩骨折的临床疗效探讨

目的探讨椎体后凸成形术（PKP）配合中医辨证分型内外用药及功能锻炼对骨质疏松性椎体压缩骨折（OVCF）治疗的临床疗效。方法选取81例0VCF病例，随机分为治疗组（n=27）、对照1组（n=27）和对照2组（n=27）。治疗组采用PKP术与中医辨证分型内外用药及功能锻炼治疗；对照1组采用PKP术配合阿伦磷酸钠及功能锻炼治疗；对照2组采用保守治疗配合阿伦磷酸钠及功能锻炼治疗。结果治疗组在Mcgill疼痛问卷、胸腰椎功能障碍指数问卷（ODD、骨密度（BMD）、椎体前、中柱高度与Cobb角变化、局部症状及并发症评价等方面与对照组比较差异均有统计学意义（P〈0．05），疗效明显。结论采用PKP术与中医辨证分型内外用药及功能锻炼治疗OVCF，具有术后疼痛明显缓解、增加腰背部活动功能、改善骨密度、伤椎前中柱高度和Cobb角恢复良好、术后局部症状改善以及能有效防治术后并发症等积极作用。

Investigation of clinical efficacy percutaneous kyphoplasty combined with medicine therapy

Objective To study the clinical curative effect of treatment to the osteoporotic verte- bral compression fractures （OVCF） by percutaneous kyphoplasty （PKP） combined with traditional Chinese medicine by internal and external medication method, based on syndrome differentiation and back muscle function exercise. Methods 81 cases have been divided randomly into three groups which were treatment group （n= 27）, PKP combined with traditional Chinese medicine by internal and exter- nal medication method based on syndrome differentiation and back muscle function exercise, first gomparisongroup （n=27） only PKP combined with oral alendronate and functional exercise, and the second comparison group （n= 27） using non-operation treatment with alendronate and functional exer- cise treatment. Results Compared with control groups the treatment group shows prominent advanta- ges. There were statistical significantly differences （P〈0.05） in Mcgill pain questionnaire, oswestry dysfunction index of the questionnaires, vertebral height and Cobb angle recovery, bone mineral densi- ty, local physical sign transformation and complication. Conclusion The treatment of PKP combined with traditional Chinese medicine by internal and external medication method based on syndrome dif- ferentiation and back muscle function exercise is efficacy in ease the pain of postoperative, improving the function of the waist activities, improving bone mineral density, maintaining vertebral body height and Cobb angle, prevention and treatment of complications.