摘要
目的探讨经皮椎体成形术(PVP)与椎体后凸成形术(PKP)治疗老年骨质疏松性椎体压缩性骨折的临床疗效和安全性,提高椎体压缩性骨折患者的临床疗效。方法回顾性分析2009年至2010年行PVP治疗的44例(53个椎体)与PKP治疗的40例(48个椎体)骨质疏松性椎体压缩性骨折的治疗情况,对比观察行PVP治疗与PKP治疗后视觉模拟评分(VAS)、术后疗效以及患者的满意度、骨水泥渗漏率及治疗费用。结果 PVP组与PKP组患者的VAS评分在术前及术后均无统计学差异(P>0.05),而术后VAS评分均较术前明显下降,PVP组治疗费用较PKP组低,PVP组骨水泥渗漏率较PKP组高,而两组在患者满意度方面无统计学差异(P>0.05)。结论 PVP更适宜作为临床治疗老年骨质疏松性椎体压缩性骨折的首选方式。
Objective To explore percutaneous vertebroplasty （PVP） and percutaneous kyphoplasty （PKP） in the treatment of osteopo- rotic vertebral compression fractures, and improve the clinical efficacy. Methods We retrospectively analyzed 44 patients （53 vertebrae） with os- teoporotic vertebral compression fractures treated with PVP and 40 patients （48 vertebrae） treated wotj PKP from 2009 to 2010 in our hospital. Re- suits Visual Analogue Score （VAS） of PVP group and PKP group showed no significant difference before and after operation （ P 〉 0.05）, and the postoperative VAS was significantly decreased in both groups. The cost of treatment in PVP group was lower than that in PKP group. Lone ce- ment leakage rate of PVP group was higher than that of PKP group. While it showed no significant difference in patients＇satisfaction （ P 〉 0.05 ）. Conclusion PVP was more suitable for clinical treatment of osteoporotic vertebral compression fractures.
出处
《临床和实验医学杂志》
2013年第5期357-358,361,共3页
Journal of Clinical and Experimental Medicine
