椎体成形术对骨质疏松脊柱骨折的治疗效果探讨

目的：探讨不同椎体成形术对骨质疏松性脊柱骨折的治疗效果。方法方便选取2013年7月—2015年6月收治的110例骨质疏松性脊柱骨折患者按随机数字表法分成A组和B组各55例。A组行经皮椎体后凸成形术(PKP)， B组行经皮椎体成形术(PVP)。对比两组的治疗效果及治疗前、后疼痛程度。结果 A组治疗的总有效率为92.73%，与B组的90.71%无明显差异(P>0.05)；A组治疗前疼痛得分(8.06±1.37)分，与B组的(8.02±1.29)分，差异无统计学意义(P>0.05)；A组治疗后疼痛得分(2.31±0.76)分，明显低于对照组的(3.25±0.95)分(P<0.05)。结论两种椎体成形术都是治疗骨质疏松性骨折的有效方式，但PKP能更好的改善患者的疼痛症状。

Observation on Effect of Vertebroplasty in Treatment of Osteoporotic Ver-tebral Fracture

Objective To observe the effects of different vertebroplasty in treatment of osteoporotic vertebral fracture. Methods 110 cases of patients with osteoporotic vertebral fracture admitted and treated from July 2013 to June 2015 were randomly divided into two groups with 55 cases in each, the group A were treated with percutaneous kyphoplasty, the group B were treated with percutaneous vertebroplasty, and the treatment effects of the two groups were compared and the pain degrees before and after treatment were compared. Results The difference in the total treatment effective rate between the group A and the group B was not obvious,(92.73% vs 90.71%), and the difference in the pain score between the group A and the group B was not obvious before treatment, (8.06±1.37) marks vs (8.02±1.29) marks], P>0.05, and the pain score in the group A was obviously lower than that in the control group after treatment, (2.31±0.76) marks vs (3.25±0.95) marks], P<0.05. Conclusion Both vertebroplasty are the effective methods in treatment of osteoporotic vertebral fracture, but the PKP can better improve the pain symptoms of patients.