【摘要】 目的探讨经皮椎体后凸成形术治疗老年骨质疏松性椎体压缩性骨折患者疗效观察及近、中期预后效果。方法选取我院79例老年骨质疏松性椎体压缩性骨折患者,依据手术术式不同分组,对照组39例采用经皮椎体成形术治疗,观察组40例给予经皮椎体后凸成形术治疗,观察比较两组术前、术后3个月、术后12个月Oswestry功能障碍指数(ODI)评分、疼痛(VAS)评分及手术前后伤椎Cobb角、椎体压缩率变化情况,并统计两组并发症发生率。结果术后3个月及12个月两组ODI、VAS评分均低于术前,观察组术后3个月伤椎Cobb角及椎体压缩率均小于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为2.50%(1/40),低于对照组20.51%(8/39),差异有统计学意义(P<0.05)。结论给予老年骨质疏松性椎体压缩性骨折患者经皮椎体后凸成形术治疗,效果较佳,可矫正畸形,促进椎体高度恢复,降低并发症发生率。更多还原

【Abstract】 Objective To investigate the effects of percutaneous kyphoplasty on the treatment of osteoporotic vertebral compression fractures in elderly patients. Methods 79 cases of senile osteoporotic vertebral compression fractures in our hospital were divided into two groups according to the surgery plans. The control group(39 cases) was treated with percutaneous vertebroplasty,and the observation group(40 cases)was treated with percutaneous kyphoplasty. Oswestry dysfunction score,VAS score,Cobb angle of vertebral body and vertebral compression rate changes of the two groups before and after surgery were compared,and the incidence of complications of the two groups were analyzed as well. Results At 3 months and 12 months after operation,the scores of ODI and VAS of the two groups were both lower than that of pre-operation. The Cobb angle and vertebral compression rate of the observation group were significantly lower than that of the control group at 3 months after operation(P < 0. 05); The incidence of complications in the observation group was 2. 5%(1/40),which was lower than that of the control group(20. 51%,8/39)(P < 0. 05).Conclusion It can get better effects of the percutaneous kyphoplasty for the treatment of elderly patients with osteoporotic vertebral compression fractures. It can correct deformities,promote vertebral height,and reduce the incidence of complications.更多还原