【摘要】 目的评价椎体成形术与椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的临床疗效。方法 30例42个椎体骨质疏松性椎体压缩性骨折,男性9例,女性21例,年龄56-88岁,平均74.4岁。应用PVP治疗15例24个椎体,PKP治疗15例18个椎体,术后对患者椎体高度的恢复、疼痛的缓解、活动能力进行分析。结果所有患者均获随访,随访时间平均为7个月(3～15个月)。PVP组视觉类比评分平均由术前8.68到术后1.74和最后随访1.13。PKP组视觉类比评分平均由术前8.62到术后1.72和最后随访1.21。PVP和PKP均能恢复伤椎前柱高度,PKP组效果更明显,两组均无严重并发症发生。结论 PVP和PKP均能有效缓解骨质疏松性椎体压缩性骨折患者的疼痛,改善生活质量;PKP能更好恢复伤椎高度,减少骨水泥渗漏的发生率。更多还原

【Abstract】 Objective To analyze the therapeutic effects of percutaneous vertebroplasty versus petcutaneous kyphoplasty for treatment of osteoporotic vertebral compression fractures. Methods Fifteen patients (24 vertebrae) underwent percutaneous vertebroplasty and 15 (18 vertebrae) received percutaneous kyphoplasty for osteoporotic vertebral compression fractures. The postoperative recovery of the anterior vertebral body height,visual analogue scale (VAS) and locomotor activity before and after the operations were compared between the two groups. Results All the patients were available for the follow-up lasting for 3-15 months (average 7 months). In the vertebroplasty group,the VAS score decreased from 8.68 preoperatively to 1.74 postoperatively and to 1.13 at the final follow-up. The VAS score in the kyphoplasty group decreased from 8.62 preoperatively to 1.72 postoperatively and to 1.21 at the final follow-up. Both vertebroplasty and kyphoplasty were effective in improving the anterior vertebral body height,but kyphoplasty showed a better effect. None of the patients developed serious complications associated with the operations. Conclusion Percutaneous vertebroplasty and percutaneous kyphoplasty both achieve rapid and significant improvement of back pain in patients with osteoporotic vertebral compression fractures,but kyphoplasty shows a better effect in terms of vertebral body height restoration and cement leakage reduction.更多还原