高黏度骨水泥经皮椎体成形术与经皮椎体后凸成形术治疗骨质疏松压缩骨折的临床疗效观察

发布时间：2018-11-19 18:46

【摘要】：[目的]探讨高黏度骨水泥经皮椎体成形术与经皮椎体后凸成形术两种疗法治疗老年骨质疏松性椎体压缩骨折的疗效。[方法]将63例老年骨质疏松性单一椎体压缩骨折患者随机分为两组,分别采用PKP和高黏度骨水泥经皮椎体成形术治疗,记录两组患者术前术后VAS评分、椎体高度以及两种手术方式的骨水泥注入量、手术出血量、手术时间和骨水泥渗漏发生率,对所得结果进行统计学分析。[结果](1)两组患者手术前后VAS评分改善值、平均骨水泥注入量、骨水泥渗漏发生率比较差异没有统计学意义(P0.05);(2)高黏度骨水泥经皮椎体成形术组的手术出血量、手术时间少于PKP组且有统计学意义(P0.05);(3)PKP组术后椎体高度恢复优于高黏度骨水泥经皮椎体成形术组且有统计学意义(P0.05);(4)术后影像学资料比较,PKP组患者骨水泥分布集中,密度较高;高黏度骨水泥组患者骨水泥呈弥散状分布,密度相对较低。[结论]高黏度骨水泥经皮椎体成形术与PKP治疗老年性椎体压缩骨折均能有效缓解疼痛且效果相当,两者渗漏率无明显差别;PKP在椎体高度恢复方面具有优势,而高黏度骨水泥经皮椎体成形术的手术时间较短,出血量较少。
[Abstract]:[objective] to evaluate the efficacy of percutaneous vertebroplasty with high viscosity cement and percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fractures in elderly patients. [methods] Sixty-three elderly patients with osteoporotic single vertebral compression fracture were randomly divided into two groups. PKP and high viscosity bone cement percutaneous vertebroplasty were used respectively. The VAS scores of the two groups were recorded before and after operation. The height of vertebral body, the amount of bone cement injected, the amount of blood lost, the time of operation and the incidence of cement leakage were analyzed statistically. [results] (1) there was no significant difference between the two groups in the improvement of VAS score, the average amount of bone cement injection and the incidence of bone cement leakage before and after operation (P0.05). (2) the amount of blood loss in the high viscosity bone cement percutaneous vertebroplasty group was less than that in the PKP group (P0.05); (3) the recovery of vertebral body height in PKP group was better than that in high viscosity bone cement percutaneous vertebroplasty group (P0.05); (4). The density of bone cement in PKP group was higher than that in PKP group. The density of bone cement in high viscosity bone cement group was lower than that in high viscosity bone cement group. [conclusion] Percutaneous vertebroplasty with high viscosity cement and PKP in the treatment of senile vertebral compression fractures can effectively relieve pain and have the same effect, but there is no significant difference in leakage rate between them. PKP has advantages in the recovery of vertebral body height, but the operation time of high viscosity bone cement percutaneous vertebroplasty is shorter and the amount of bleeding is less.
【作者单位】：河南省洛阳正骨医院河南省骨科医院脊柱外二科;
【分类号】：R687.3

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