摘要
目的比较经皮穿刺椎体后凸成形术(PKP)与经皮椎体成形术(PVP)在骨质疏松致腰椎骨折治疗中的应用效果。方法选取在本院进行治疗的骨质疏松致腰椎骨折患者86例,按手术方式不同分为观察组和对照组,各43例。对照组行PVP治疗,观察组予PKP治疗,比较两组临床指标及并发症情况。结果术后1个月,观察组Oswsetry功能障碍指数(ODI)、Cobbs角均低于对照组,骨折椎体前后缘高度比(AH/PH)较高,差异有统计学意义(P<005);两组均未出现明显并发症,但观察组骨水泥渗漏率明显低于对照组,差异有统计学意义(P<005)。结论与PVP治疗比较,PKP治疗可有效降低骨质疏松致腰椎骨折患者术后功能障碍程度,促进骨折椎体恢复,且安全性较好。
Objective To compare the application effects of percutaneous kyphoplasty(PKP)and percutaneous vertebroplasty(PVP)in the treatment of fracture of lumbar vertebra caused by osteoporosis Methods86patients with fracture of lumbar vertebra caused by osteoporosis treated in our hospital were selected,and they were divided into observation group and control group by surgical Methods,43cases in each Control group was treated with PVP,while observation group was given PKP The clinical indexes and complications of two groups were compared Results After surgery for1month,the Oswestry disability index(ODI0,Cobb’s angle in observation group were lower than those in control group,and the anterior height/posterior height(AH/PH)was higher(P<005);There was no obvious somplications in two groups,but the bone cement leakage rate of observation group was significantly lower than that of ocntrol group(P<005)Conclusion Compared with PVP,PKP can effectviely decrase the degree of postoperative dysfunction,promote recovery of fractured vertebral body and have better safety
作者
段广超
DUAN Guang-chao(Department of Spine Surgery,Shangqiu First People’s Hospital,Shangqiu, Henan,476100,China)
出处
《临床研究》
2017年第12期13-14,共2页
Clinical Research
关键词
PKP
PVP
骨质疏松
腰椎骨折
PKP
PVP
osteoporosis
fracture of lumbar vertebra
作者简介
段广超(1970 ),男,汉族,河南夏邑人,主治医师,研究生。研究方向: 脊柱脊髓损伤。
