经皮椎体后凸成形术治疗老年性骨质疏松性椎体压缩性骨折的近期疗效观察

目的: 研究经皮椎体后凸成形术治疗骨质疏松性胸腰椎压缩性骨折的疗效。方法: 选取2019年3月至2020年9月内蒙古科技大学包医一附院收治的68例老年性骨质疏松性椎体压缩性骨折患者为研究对象,随机分为对照组和观察组,各34例;对照组应用经皮椎体成形术治疗,观察组应用经皮椎体后凸成形术治疗,对比两种术式的效果。结果: 观察组患者治疗的总有效率为94.1 %,明显高于对照组的73.5 %(P＜0.05);观察组伤椎前缘高度、伤椎后缘高度、伤椎中线高度均高于对照组(P＜0.05);观察组后凸角(Cobb角)小于对照组(P＜0.05),VAS、ODI评分低于对照组(P＜0.05);观察组并发症发生率5.9 %低于对照组的29.4 %(P＜0.05);观察组生活质量评分各项均高于对照组(P＜0.05)。结论: 老年性骨质疏松性椎体压缩骨折患者应用经皮椎体后凸成形术治疗可取得良好的近期疗效,能改善病情,提升其生活质量,此治疗方案适宜在临床中推广应用。

The short-term effect of percutaneous kyphoplasty for the treatment of senile osteoporotic vertebral compression fractures

Objective: To study and analyze the short-term efficacy of percutaneous kyphoplasty (PKP) for the treatment of osteoporotic thoracolumbar compression fractures (OVCF). Methods: Selection of Inner Mongolia university of science and technology BaoYi YiFuYuan 2019.3 2020.9 treated 68 cases of senile patients with osteoporotic vertebral compression fractures, and it can be divided into two groups at random, the control group of 34 cases of application of percutaneous vertebral plasty (PVP) treatment, the team of 34 cases of application of the protruding after percutaneous vertebral plasty treatment, compared to two kinds of operative methods for the treatment effect of OVCF. Results: The team treatment of patients with the total effective rate was significantly higher than the control group (94.1 %) (73.5 %), wounded leading edge vertebral height, vertebral rear height, the middle route of the injured vertebral height is higher than the control group, the convex Angle (Cobb Angle) is less than the control group, VAS and ODI score lower than the control group, the incidence of complications (5.9 %) and lower than the control group (29.4 %), the quality of life score of each item is higher than the control group, the comparison between groups (P＜0.05). Conclusion: Percutaneous kyphoplasty for senile osteoporotic vertebral compression fracture can achieve good short-term efficacy, significantly improve their condition, and improve their quality of life, and this treatment plan is suitable for clinical application.