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中国现代手术学杂志  2017, Vol. 21 Issue (5): 382-386    DOI: 10.16260/j.cnki.1009-2188.2017.05.014
  临床论著 |
经皮穿刺椎体成形术结合体位复位在老年胸腰椎压缩性骨折中的应用效果
崔志刚,张德光,刘福全
首都医科大学附属北京友谊医院平谷医院骨科,北京 101200
Application of Percutaneous Vertebroplasty Combined with Postural Reduction in the Treatment of Thoracolumbar Compression Fractures in the Elderly
CUI Zhigang, ZHANG Deguang, LIU Fuquan
Department of Orthopedics, Pinggu Hospital Affiliated to Beijing Friendship Hospital of Capital Medical University, Beijing101200,China
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摘要 目的研究经皮穿刺椎体成形术(percutaneous vertebroplasty, PVP)结合体位复位在老年胸腰椎压缩性骨折中的应用效果。方法选取从2014年2月到2017年2月共150例在本院进行治疗的老年胸腰椎压缩性骨折的患者作为研究对象,以随机数字表法分为两组,每组75例。观察组应用PVP结合体位复位治疗,对照组的治疗方式为经皮球囊扩张椎体后凸成形术(percutaneous kyphoplasty, PKP)。结果观察组总有效率94.67%;对照组总有效率96%。观察组总有效率与对照组比较,差异无统计学意义(P>0.05)。两组治疗后,观察组Cobb角与对照组比较无显著差异,椎体前缘和后缘压缩率明显高于对照组,差异有统计学意义(P<0.05)。经治疗两组患者Oswestry功能障碍指数和VAS评分显著下降;观察组治疗后Oswestry功能障碍指数及VAS评分与对照组比较差异无统计学意义(P>0.05)。结论PVP结合体位复位和PKP术治疗老年胸腰椎压缩性骨折均具有良好效果,能显著改善患者的临床症状及生活质量,PKP对椎体高度的恢复作用更为显著,而PVP适应证更广,操作更简便, 价格较低。
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CUI Zhigang
ZHANG Deguang
LIU Fuquan
关键词:  经皮椎体成形术  经皮椎体后凸成形术  脊柱骨折  骨质疏松    
Abstract: ObjectiveTo study the effect of percutaneous vertebroplasty combined with postural reduction in the treatment of thoracolumbar compression fractures in the elderly.MethodsFrom February 2014 to February 2017, a total of 150 elderly patients with thoracolumbar compression fractures treated in our hospital were selected as the research object, and were randomly divided into two groups, with 75 cases in each. The observation group was treated with percutaneous vertebroplasty (PVP), and the control group was treated with percutaneous kyphoplasty (PKP).ResultsThe total effective rate of the observation group was 94.67%, and the control group was 96%. There was no significant difference in the total effective rate between the groups (P>0.05). There was no significant difference of the postoperative Cobb angle between the two groups (P>0.05). But the compression rate of the anterior and posterior edge of the vertebral body of the observation group was significantly higher than that of the control group (P<0.05). After treatments, the Oswestry dysfunction index and VAS score decreased significantly in each group. But there was no significant difference of the Oswestry dysfunction index and VAS score between these two groups (P>0.05).ConclusionPVP and PKP are both reliable in pain relief and life quality improvement for the thoracolumbar compression fractures patients in the elderly. But it has obvious advantages of the restore of the compressed vertebral body in PKP. While it can achieve wider indications, more simple procedures and relative lower costs of PVP.
Key words:  percutaneous vertebroplasty    percutanous kyphoplasty    spinal fractures    osteoprosis
               出版日期:  2017-10-26      发布日期:  2018-05-25      期的出版日期:  2017-10-26
ZTFLH:  R687.3  
作者简介:  崔志刚,男,37岁,首都医科大学附属北京友谊医院平谷医院骨科主治医师,医学硕士。
引用本文:    
崔志刚,张德光,刘福全. 经皮穿刺椎体成形术结合体位复位在老年胸腰椎压缩性骨折中的应用效果[J]. 中国现代手术学杂志, 2017, 21(5): 382-386.
CUI Zhigang, ZHANG Deguang, LIU Fuquan. Application of Percutaneous Vertebroplasty Combined with Postural Reduction in the Treatment of Thoracolumbar Compression Fractures in the Elderly. Chinese Journal of Modern Operative Surgery, 2017, 21(5): 382-386.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2017.05.014  或          http://www.surgerychina.com/CN/Y2017/V21/I5/382
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