经皮椎体后凸成形术治疗老年压缩性骨折效果分析

目的探讨经皮椎体后凸成形术（PKP）治疗老年椎体压缩性骨折的临床效果。方法选取重庆三峡中心医院2010年3月～2013年2月的31例老年椎体压缩性骨折患者，其中2011年3月～2013年2月16例（20个椎体）为研究组，行经皮椎体后凸成形术，2010年3月～2011年2月15例（20个椎体）为对照组．行经皮椎体成形术。术前、术后及随访3个月时评价两组患者疼痛VAS评分，脊柱前柱高度及骨水泥渗漏情况，并做比较分析。结果①术后患者疼痛明显改善，两组术后及随访时疼痛评分均低于术前，差异均有统计学意义（P〈0．05）；两组间各时段疼痛评分比较，差异均无统计学意义（P〉0．05）。②研究组随访时前柱高度与术后比较轻微降低．而对照组几乎无变化。术后及随访3个月时两组间脊柱前柱高度变化差异有统计学意义（P〈0．05）。③研究组与对照组术中骨水泥渗漏率（5．00％比30．00％）比较，差异有统计学意义（P〈0．05）。结论两种术式均能有效缓解骨质疏松性椎体压缩性骨折患者的疼痛，改善生活质量，同时PKP能更好地恢复伤椎高度，减少骨水泥渗漏的发生率。

Analysis of percutaneous kyphoplasty in treatment of elderly patients with compression fracture

Objective To discuss the clinical effects of the percutaneous kyphoplasty （PKP） in the treatment of senile vertebral compression fractures. Methods 31 cases of senile vertebral compression fracture patients in Chongqing Three Gorges Central Hospital from March 2010 to February 2013 were selected, 16 cases of senile vertebral compression fractures with 20 vertebral bodies from March 2011 to February 2013 were chosen as research group, 15 cases from March 2010 to February 2011 were chosen as control group. The research group was treated with PKP, the control group was treated with pereutaneous vertebroplasty. The pain VAS score, spinal anterior column height, bone cement leakage before the operation, after the operation and 3 months of the following-up between the two groups were ana- lyzed and compared. Results ①The pain in the two groups were alleviated, the pain VAS score in the two groups after the operation and during the following-up were all lower than those before the operation, the differences were statisti- cally significant （P 〈 0.05）. The difference of pain VAS score in every stage between the two groups was not statistical- ly significant （P 〉 0.05）. ②The spinal anterior column height in research group during the following-up was lower than postoperation slightly, no change was found in control group. The spinal anterior column height after the operation and during the following-up between the two groups was statistically significant （P 〈 0.05）.③The differences of bone ce- ment leakage rate in research group and control group （5.00% vs 30.00%） was statistically significant （P 〈 0.05）. Con- clusion The two methods can effectively relieve the pain of fractures in patients with osteoporotic vertebral compres- sion, it can improve the quality of life, at the same time, PKP can recover the height of vertebral injury better, reduce the incidence of bone cement leakage.