PVP和PKP治疗老年骨质疏松性椎体压缩性骨折的临床疗效比较

发布时间：2018-05-27 10:02

本文选题：椎体成形术 + 椎体后凸成形术　；参考：《中国老年学杂志》2017年09期

【摘要】：目的探讨椎体成形术(PVP)和椎体后凸成形术(PKP)治疗老年骨质疏松性椎体压缩性骨折的临床疗效。方法采用PVP和PKP治疗老年骨质疏松性椎体压缩性骨折患者72例,其中PVP组40例,PKP组32例。比较两组手术时间、骨水泥注入量、骨水泥渗漏率、椎体恢复高度、住院天数、手术前后视觉模拟评分(VAS)。结果两组手术时间、椎体恢复高度、骨水泥渗漏、骨水泥注入量比较差异有统计学意义(P0.05)。两组住院天数、手术前后VAS比较差异无统计学意义(P0.05)。结论 PVP和PKP对于老年骨质疏松性椎体压缩性骨折均具有快速、有效缓解疼痛的作用。PVP操作简便,手术时间短,但渗漏率高,无法恢复椎体高度。PKP有利于恢复椎体高度,减少渗漏,但操作复杂,手术时间长,过度恢复椎体高度可增加椎体再骨折的风险。
[Abstract]:Objective to investigate the clinical effect of vertebroplasty and kyphoplasty (PKP) in the treatment of senile osteoporotic vertebral compression fracture. Methods 72 cases of senile osteoporotic vertebral compression fracture were treated with PVP and PKP, including 40 cases of PVP group and 32 cases of PVP group. The time of operation, the amount of bone cement injected, the leakage rate of bone cement, the height of vertebral body recovery, the days of hospitalization, the visual analogue score before and after operation were compared between the two groups. Results the time of operation, the height of vertebral body recovery, the leakage of bone cement and the amount of bone cement injection were significantly different between the two groups (P 0.05). There was no significant difference in VAS between the two groups before and after operation (P 0.05). Conclusion both PVP and PKP have a rapid and effective analgesic effect on osteoporotic vertebral compression fracture. PVP is easy to operate, short operation time, but high leakage rate, which can not restore vertebral height .PKP is beneficial to restore vertebral height. Reduce leakage, but complicated operation, long operation time, excessive recovery of vertebral body height can increase the risk of vertebral refracture.
【作者单位】：杭州市萧山区中医院骨科;吉林大学第二医院;
【分类号】：R580;R687.3

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