摘要
目的 探析骨质疏松性胸腰段脊柱压缩骨折行手法复位PVP与单纯PVP手术治疗的效果。方法 选取2020年4月—2023年3月本院收治的50例骨质疏松性胸腰段脊柱压缩骨折患者为研究对象,并按照随机抽签法将患者分为乙组和甲组,每组25例。其中,甲组采用手法复位PVP治疗,乙组采用单纯PVP手术治疗,对比两组患者的疼痛改善情况、不同时间段伤椎前缘高度和椎体后凸Cobb角的变化情况、骨水泥分布情况以及围术期血清指标情况。结果 术前,两组患者均存在明显的疼痛感,且伤椎前缘高度降低、椎体后凸Cobb角增大,组间差异无统计学意义(P>0.05);术后,甲组疼痛感评分、椎体后凸Cobb角比乙组低,伤椎前缘高度高于乙组(P<0.05)。术前,两组患者血清指标各项数据对比,差异无统计学意义(P>0.05);术后90d,各项血清指标均得到有效改善,甲组IL-6、MMP-3指标值明显比乙组低,TIMP-1指标值比乙组高(P<0.05);甲组Ⅰ度、Ⅱ度分布率均高于乙组(P<0.05);Ⅲ度、Ⅳ度分布率均低于乙组(P<0.05)。结论 骨质疏松性胸腰段脊柱压缩骨折行手法复位PVP治疗的效果优于单纯PVP手术治疗,可缓解疾病产生的疼痛感,恢复椎体前缘高度,明显改善骨水泥分布情况。
Objective To explore effect of manipulative reduction type PVP and simple PVP surgery in treatment of osteoporotic thoracolumbar spinal compression fractures.Methods The paper chose patients with osteoporotic thoracolumbar compression fractures from April 2020 to March 2023 as specific research subjects,and divided them into two groups with principle of random drawing.Group A was treated with manipulative reduction type PVP and group B with simple PVP surgery,with 25 cases in each group.Pain improvement,changes in anterior vertebral height and Cobb angle of vertebral kyphosis at different time periods,distribution of bone cement,and perioperative serum indicators were compared between two groups.Results Before surgery,both groups showed significant pains,with decrease in height of anterior edge of injured vertebra and an increase in Cobb angle of posterior convexity of vertebra,with no significant difference(P>0.05).With prolongation of postoperative recovery time,pain scores and Cobb angle of vertebral kyphosis in group A were lower than group B,height of anterior edge of injured vertebra was higher than group B(P<0.05).There was no significant difference in preoperative serum indicators between two groups(P>0.05).90 days after surgery,serum indicators were effectively improved,levels of IL-6 and MMP-3 in group A were significantly lower than group B,levels of TIMP-1 were higher,(P<0.05).Distribution rates of grade I andⅡin group A were higher than group B(P<0.05),those of gradeⅢandⅣwere lower than group B(P<0.05).Conclusion Manipulative reduction type PVP treatment can achieve better effect than simple PVP surgery for osteoporotic thoracolumbar spinal compression fractures,can alleviate pains caused by the disease,restore height of the anterior vertebral body well,and improve distribution of bone cement significantly.
作者
陈叶新
周峰
CHEN Yexin;ZHOU Feng(Changshu City Zhitang People's Hospital,Changshu,Jiangsu 215531)
出处
《智慧健康》
2024年第25期48-51,共4页
Smart Healthcare
关键词
骨质疏松性胸腰段脊柱压缩骨折
手法复位PVP
单纯PVP手术
Osteoporotic thoracolumbar spinal compression fractures
Manipulative reduction type PVP
Simple PVP surgery
