陈旧性不稳定型骨质疏松脊柱骨折PVP治疗疗效观察

发布时间：2018-03-17 19:29

本文选题：经皮椎体成形术　切入点：骨质疏松　出处：《重庆医学》2017年09期 　论文类型：期刊论文

【摘要】：目的探讨经皮椎体成形术(PVP)治疗陈旧性不稳定型骨质疏松脊柱骨折的临床疗效。方法根据影像学将20例骨质疏松陈旧性单椎体骨折分为稳定型、不稳定型两组,每组10例,均应用PVP治疗。观察两组患者术前30min及术后6h、3d、30d弯腰活动时数字模拟评分(VAS),比较术前、术后伤椎节段站立位与平卧位X线片椎体前缘高度水平。结果术前30min弯腰时两组患者的VAS评分比较差异有统计学意义(P0.05)。与术前30min比较,两组患者术后各观测点VAS评分明显降低,差异有统计学意义(P0.05)。术后6h、3d、30d弯腰时两组VAS评分比较,差异无统计学意义(P0.05)。稳定型组术前、术后椎体前缘高度比较差异无统计学意义(P0.05);不稳定型组术后站立位、平卧位椎体前缘高度较术前明显改变,差异有统计学意义(P0.05)。结论不稳定型骨质疏松脊柱骨折术前疼痛较稳定型明显,但PVP治疗后二者效果类似;不稳定型骨质疏松脊柱骨折PVP术后高度可得到一定的恢复。
[Abstract]:Objective to investigate the clinical effect of percutaneous vertebroplasty (PVP) in the treatment of old unstable osteoporotic spinal fractures. Methods 20 cases of old osteoporotic single vertebral body fractures were divided into two groups: stable type and unstable type, 10 cases in each group. All patients were treated with PVP. Results there was a significant difference in VAS score between the two groups at 30 minutes before operation (P 0.05). Compared with the 30 minutes before operation, the VAS score of each observation point in the two groups was significantly lower than that in the preoperative 30 minutes. The difference was statistically significant (P 0.05). There was no significant difference in VAS score between the two groups at 30 d postoperatively. There was no significant difference in the anterior height of vertebral body before and after operation in the stable type group, and there was no significant difference between the two groups in the postoperatively standing position of the unstable type group, and there was no significant difference in the anterior height of the vertebral body between the two groups before and after operation in the stable type group. The anterior height of vertebral body in supine position was significantly different from that before operation, and the difference was statistically significant (P 0.05). Conclusion the pain of unstable osteoporotic spine fracture before operation is more obvious than that of stable type, but the effect is similar after PVP treatment. Unstable osteoporotic spine fracture can be recovered at a high level after PVP.
【作者单位】：重庆市大足区人民医院骨科;
【分类号】：R687.3;R580

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