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目的:分析PKP(即经皮椎体后凸成形术)和PVP(即经皮椎体成形术)在骨质疏松性椎体压缩骨折治疗中的临床应用效果。方法:回顾并抽取我院骨科诊治的164例骨质疏松脊柱压缩性骨折患者资料,根据术式分为PKP组和PVP组各82例,对比分析不同手术前各组VAS评分(即视觉模拟评分法)、ODI(即Oswestry功能障碍指数)、椎体高度以及Cobb角变化,同时对2种手术的安全性进行客观评价。结果:手术后,两组VAS评分、ODI、椎体高度以及Cobb角度均出现明显恢复(P<0.05),在术后相同时间点,PKP组VAS分数、ODI分数、椎体高度、Cobb角度均显著优于PVP组(P<0.05);PKP组手术不良事件发生率(17.07%)显著低于PVP组(36.59%),P<0.05,组间差异明显。结论:PVP、PKP虽然均能够对骨质疏松脊柱压缩性骨折达到修复椎体高度、止痛的治疗效果,但是PKP治疗后椎体恢复情况、手术安全性显著优于PVP。
Objective: To analyze the clinical effect of PKP (percutaneous kyphoplasty) and PVP (percutaneous vertebroplasty) in the treatment of osteoporotic vertebral compression fractures. Methods: The data of 164 cases of osteoporotic vertebral compression fractures diagnosed and treated in our hospital were retrospectively analyzed. According to the surgical procedures, 82 cases were divided into PKP group and PVP group. The VAS scores (ie visual analogue scale Method), ODI (Oswestry disability index), vertebral height and Cobb angle changes, and objectively evaluated the safety of the two kinds of surgery. Results: VAS score, ODI, vertebral body height and Cobb angle of the two groups were significantly recovered after operation (P <0.05). At the same time point after operation, VAS score, ODI score, vertebral body height and Cobb angle (P <0.05). The incidence of adverse events in PKP group (17.07%) was significantly lower than that in PVP group (36.59%), P <0.05. There was significant difference between the two groups. CONCLUSION: Although both PVP and PKP can treat vertebral body height and relieve pain in the treatment of osteoporotic vertebral compression fractures, the recovery of vertebral bodies and the safety of surgery after PKP are significantly better than that of PVP.