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目的对经皮椎体成形术治疗脊柱转移瘤的临床效果进行探究和分析。方法 120例脊柱转移瘤患者,随机分成对照组和观察组,各60例。对照组患者采用开放性手术治疗,观察组患者采用经皮椎体成形术治疗。对两组患者的临床治疗效果进行观察和对比分析。结果观察组患者手术时间、术中出血量、疼痛评分等指标均明显优于对照组,差异具有统计学意义(P<0.05)。术后两组患者Frankel评分与术前比较差异具有统计学意义(P<0.05)。运动功能方面,观察组49例恢复,恢复率为81.7%(49/60),明显高于对照组的61.7%(37/60),差异具有统计学意义(P<0.05)。结论相对于开放手术治疗方法 ,经皮椎体成形术具有术中出血少,手术时间短,恢复快的特点,具有十分重要的临床应用价值和意义,值得在临床上得到广泛的推广和应用。
Objective To investigate the clinical effect of percutaneous vertebroplasty in the treatment of spinal metastases. Methods 120 patients with spinal metastases were randomly divided into control group and observation group, 60 cases each. Patients in the control group were treated with open surgery and patients in the observation group were treated with percutaneous vertebroplasty. The clinical effects of two groups of patients were observed and compared. Results The operation time, intraoperative blood loss, pain score and other indicators of the observation group were significantly better than the control group, the difference was statistically significant (P <0.05). The postoperative Frankel score of two groups was significantly different from preoperative (P <0.05). In terms of motor function, the recovery rate in 49 cases in observation group was 81.7% (49/60), which was significantly higher than that in control group (61.7%, 37/60). The difference was statistically significant (P <0.05). Conclusion Compared with open surgery, percutaneous vertebroplasty has the advantages of less intraoperative bleeding, shorter operative time and faster recovery. It is of great clinical value and significance and worth to be widely popularized and applied clinically.