椎体成形术治疗骨质疏松性椎体压缩骨折37例疗效观察

目的探讨经皮椎体成形术（PVP）治疗骨质疏松性椎体压缩骨折的临床疗效。方法将我院57例（71节）骨质疏松性椎体压缩骨折患者随机分为对照组20例（25节）和观察组37例（46节），对照组接受保守治疗，观察组接受PVP治疗。比较两组患者住院时间、下床活动时间、治疗前后VAS评分、Cobb角度数和并发症发生率。结果观察组住院时间和下床活动时间均显著短于对照组（P〈0．05）；两组患者治疗后VAS评分和Cobb角度数均较治疗前下降（P〈0．05），观察组下降幅度显著高于对照组（P〈0．05）；两组患者并发症发生率比较无显著差异（P〉0．05）。结论经皮椎体成形术治疗骨质疏松性椎体压缩骨折效果确切．术后恢复快．并发症少．值得临床推广。

Observation on Clinical Efficacy of Vertebroplasty for the Treatment of 37 Cases with Osteoporotic Vertebral Compression Fractures

Objective To investigate clinical efficacy of percutaneous vertebroplasty（PVP） for the treatment of osteoporotic vertebral compression fractures. Methods 57 cases（71 vertebrae） of osteoporotic vertebral compression fractures in our hospital were randomly divided into control group 20 cases and observation group 37 cases. Control group included 25 vertebrae and received conservative treatment. Observation group included 46 vertebrae and received PVP. The hospitalization time, ambulation time, VAS score, Cobb angles before and after treatment and complication rate of two groups were compared. Results The hospitalization time and ambulation time of observation group were significantly lower than control group（P〈0.05）. After treatment, VAS score and Cobb angles of two groups decreased significantly（P〈0.05）, but the amount of variation in observation group were significantly higher than those of control group（P〈0.05）. The complication rate of two groups had no significant difference（P〉0.05）. Conclusion PVP for the treatment of osteoporotic vertebral compression fractures has exact effect with fewer compiications and rapid postoperative recovery. It＇s worthy of clinical widely used.