经皮椎体后凸成形术及保守治疗陈旧性骨质疏松椎体压缩性骨折疗效对比分析

目的：探讨陈旧性骨质疏松椎体压缩性骨折（OVCF）患者实施保守治疗及经皮椎体后凸成形术（PKP）治疗的临床效果。方法选择2011年1月至2014年3月48例OVCF患者，按照治疗方法分为对照组和观察组，对照组22例患者实施保守治疗，观察组26例患者实施PKP治疗。对比两组患者治疗前后生活质量评分（SF‐36）、视觉疼痛模拟评分（VAS）、Oswestry功能障碍指数及影像学结果。结果观察组与对照组治疗前后V A S评分差异均有统计学意义（ F＝84．393，P＝0．019；F＝61．388， P＝0．028）；观察组V A S评分治疗后1 d、6个月均明显低于对照组，差异有统计学意义（ t＝－18．843，P＝0．000；t＝－17．174， P＝0．000）。观察组S F‐36总分为（85．18±8．01）分，明显高于对照组（74．29±6．93）分，差异有统计学意义（ t＝8．569，P＝0．006）。观察组治疗后Oswestry功能障碍评分均优于对照组，差异有统计学意义（t＝6．217，P＝0．010）；观察组治疗后1 d、6个月椎体中间高度分别为（19．72±2．44）mm、（19．70±2．17）mm均高于治疗前（F＝23．221，P＝0．028）。结论 PKP术式可以有效改善患者疼痛及生活质量，值得临床推广应用。

Comparative analysis of PKP and conservative treatment on old osteoporotic vertebral compression fractures

Objective To investigate comparative analysis of PKP and conservative treatment for old osteoporotic vertebral compression fractures ,to provide a reference for clinical treatment .Methods From January 2011 to March 2014 48 cases of OVCF patients were selected ,they were divided into two groups according to treatment which were observation group (26 cases) and con‐trol group (22 patients) ,control group with the implementation of conservative treatment ,observation group was implemented with surgical treatment for patients with PKP .Two groups of patients before and after treatment quality of life scores (SF‐36) ,pain vis‐ual analogue scale (VAS) ,Oswestry Disability Index and radiographic findings were compared .Results The observation group and the control group before and after treatment VAS scores were significantly different (F= 84 .393 ,P= 0 .019 ;F= 61 .388 ,P=0 .028);VAS score in observation group after treatment 1d ,6 months were significantly lower than the control group ,the difference was statistically significant (t= -18 .843 ,P=0 .000;t= -17 .174 ,P=0 .000);SF‐36 scores in the observation group was 85 .18 ± 8 .01 ,significantly higher than 74 .29 ± 6 .93 ,the difference was statistically significant (t=8 .569 ,P=0 .006);in observation group after treatment Oswestry disability scores compared with the control group ,the difference was statistically significant (t=6 .217 , P=0 .010);in the observation group after 1 d ,6 months the middle of vertebral height was (19 .72 ± 2 .44) mm ,(19 .70 ± 2 .17) mm ,were higher than before treatment ,the difference was statistically significant (F=23 .221 ,P=0 .028) .Conclusion PKP can improve pain and quality of life for patients ,which is worthy of clinical application .