经皮椎体成形术治疗骨质疏松性压缩性椎体骨折的疗效观察

目的 比较经皮穿刺球囊扩张椎体成型术与保守方法在治疗骨质疏松性压缩性椎体骨折中的疗效。方法 选取2015年3月~2017年12月我院80例骨质疏松性压缩性椎体骨折患者，按手术方法分为A组和B组，每组40例。A组采用经皮穿刺球囊扩张椎体成型术，B组采用保守方法治疗。定期随访，对比治疗前后两组患者VAS评分和ODI指数。结果 A组治疗后1、3、6个月时的VAS评分分别为（3.64±1.18）分、（2.62±0.75）分、（2.09±0.41）分，优于B组的（5.88±1.53）分、（3.47±1.10）分、（2.62±0.56）分，ODI指数分别为（11.57±6.54）%、（8.91±6.20）%、（5.71±3.18）%，优于B组的（28.63±7.82）%、（21.72±5.29）%、（12.80±7.88）%，统计学意义显著（P＜0.01）。两组随访1年时的VAS评分、ODI指数对比，差异无统计学意义（P＞0.05）。结论 经皮穿刺球囊扩张椎体成型术治疗骨质疏松性压缩性椎体骨折，可以迅速缓解疼痛，令患者早期离床活动改善功能，在骨折早期相对于保守治疗更具优势。

Therapeutic Effect of Percutaneous Vertebroplasty for treatment of Osteoporotic Vertebral Compression Fracture

Abstract:Objective To compare the efficacy of percutaneous balloon angioplasty and conservative methods in the treatment of osteoporotic vertebral compression fracture.Methods 80 patients with osteoporotic vertebral compression fracture from March 2015 to December 2017 were enrolled.The patients were divided into group A and group B according to the surgical method,40 cases in each group.Group A was treated with percutaneous balloon angioplasty and group B was treated with conservative methods.Regular follow-up was performed to compare the VAS score and ODI index between the two groups before and after treatment.Results The VAS scores at 1,3,and 6 months after treatment in group A were(3.64±1.18),(2.62±0.75)and(2.09±0.41),respectively,which was better than that of group B(5.88±1.53),(3.47±1.10),(2.62±0.56),ODI index was(11.57±6.54)%,(8.91±6.20)%,(5.71±3.18)%,better than B group(28.63±7.82)%(21.72±5.29)%,(12.80±7.88)%,statistically significant(P<0.01).There was no significant difference in VAS score and ODI index between the two groups at 1 year follow-up(P>0.05).Conclusion Percutaneous balloon dilatation vertebroplasty for the treatment of osteoporotic vertebral compression fracture can quickly relieve pain and improve the function of early bed-out activities. It is superior to conservative treatment in the early stage of fracture.