PVP与PKP对骨质疏松椎体压缩性骨折患者关节疼痛及关节功能影响的对比观察

发布时间：2018-12-29 10:31

【摘要】：目的对比分析经皮椎体成形术(PVP)与经皮椎体后凸成形术(PKP)对骨质疏松椎体压缩性骨折患者关节疼痛及关节功能的影响。方法选择骨质疏松椎体压缩性骨折患者60例,其中20例选择PVP治疗(PVP组),40例选择PKP治疗(PKP组)。两组分别于术前及术后1周、1个月、3个月、6个月时在静息状态和活动状态下采用疼痛视觉模拟评分(VAS)评价关节疼痛程度;进行Oswestry功能障碍指数评分,评价关节功能恢复情况。结果治疗前两组静息及活动状态下VAS比较差异无统计学意义(P均0.05);PVP组术后1、3、6个月时静息及活动状态下VAS均低于术前,PKP组术后1周、1个月、3个月、6个月时静息及活动状态下VAS均低于术前,PKP组术后1周、1个月、3个月、6个月时静息及活动状态下VAS均低于同时间点PVP组,组间及组内比较P均0.05。两组术前Oswestry功能障碍指数评分比较差异无统计学意义(P0.05);两组术后1周、1个月、3个月、6个月对Oswestry功能障碍指数评分均低于术前,PKP组降低更显著(P均0.05)。结论 PVP、PKP均可缓解骨质疏松椎体压缩性骨折患者关节疼痛、促进关节功能恢复;PKP效果更好。
[Abstract]:Objective to compare the effects of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) on joint pain and joint function in patients with osteoporotic vertebral compression fracture. Methods 60 cases of osteoporotic vertebral compression fracture were selected, 20 cases were treated with PVP (PVP group) and 40 cases were treated with PKP (PKP group). The degree of joint pain was evaluated by visual analogue score (VAS) before operation and 1 week, 1 month, 3 months and 6 months after operation. Oswestry dysfunction index score was used to evaluate the recovery of joint function. Results there was no significant difference in VAS between the two groups before treatment (P 0.05). VAS in the PVP group was significantly lower than that in the pre-operation group at 1 h, 6 months after operation and in the rest and active state at 1 week, 1 month, 3 months, 6 months after the operation in the PKP group, and 1 week, 1 month, 3 months after the operation in the PKP group, and 1 week, 1 month and 3 months after the operation in the PKP group. After 6 months of rest and activity, the VAS of PVP group was lower than that of PVP group at the same time point (P 0.05). There was no significant difference in the score of Oswestry dysfunction index between the two groups before operation (P0.05). The scores of Oswestry dysfunction index at 1 week, 1 month, 3 months and 6 months after operation in both groups were lower than those before operation, especially in PKP group (P 0.05). Conclusion PVP,PKP can relieve joint pain and promote joint function recovery in patients with osteoporotic vertebral compression fracture, and PKP is more effective.
【作者单位】：北京市普仁医院;海军总医院;
【分类号】：R580;R687.3

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