摘要
目的观察球囊扩张椎体后凸成形术(PKP)治疗骨质疏松性椎体压缩性骨折的临床疗效。方法采用PKP治疗60例骨质疏松性椎体压缩性骨折患者(共77椎),比较手术前后VAS评分、椎体前缘高度、Cobb角变化情况,分析疗效。结果 VAS评分术后低于术前,椎体前缘高度术后高于术前,Cobb角术后小于术前,差异均有统计学意义(P<0.05)。患者均获随访,时间6～12(8.2±1.7)个月。随访期间均未发生疼痛加重情况。结论 PKP治疗骨质疏松性椎体压缩性骨折临床疗效良好,有效恢复并保持脊柱功能,并发症少,患者接受程度较高。
Objective To evaluate the efficacy of percutaneous kyphoplasty（PKP）in treating vertebral body compres- sive fractures in patients with osteoporosis. Methods PKP was used to treat 60 cases of osteoporotic vertebral com- pression fracture patients （77 vertebral）. VAS scores, vertebral height and Cobb angle change were compared before and after surgery in order to analyse the effect. Results The VAS score was lower than the preoperative, vertebral height postoperative was better than preoperative, less than preoperative Cobb angle after surgery, all the difference was statistically significant （P 〈0.05）. The patients were followed up for 6 ～ 12 （8.2 ± 1.7） months. The follow-up did not show the pain worsened. Conclusions PKP is effective for osteoporotic vertebral body compressive fractures, which is minimal trauma and good security. It can restore vertebral height, maintain vertebral body stability.
出处
《临床骨科杂志》
2012年第6期633-634,共2页
Journal of Clinical Orthopaedics
作者简介
闫志刚，男，主治医师，主要从事创伤研究，E-mail：yluck2008@163．com；
王元利，男，副主任医师，通讯作者，主要从事创伤骨科研究，E-mail：mylueky2008@126．com
