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目的:比较椎体成形术(PVP)与椎体后凸成形术(PKP)治疗骨质疏松性椎体压缩骨折的疗效,观察两种手术的临床效果。方法:将60例骨质疏松症患者随机分成2组,并分别进行椎体成形术与椎体后凸成形术治疗,统计术前及术后1天、6月的VAS评分、术后6月功能障碍指数评分、住院总花费等。结果:PVP组的手术时间和累计透视时间均低于PKP组,2组间比较,差异均有统计学意义(P<0.05);PVP组与PKP组的平均每节椎体骨水泥注射量、骨水泥渗漏例数、术后1天与术后6月的VAS评分和ODI评分之间的差异较小,无统计学意义(P>0.05);PVP组与PKP组的手术费用比较,差异有统计学意义(P<0.05)。结论:2种微创手术均可减少患者的卧床时间,缓解患者术后疼痛,并能够维持6个月以上,还能增加椎体的稳定性。
Objective: To compare the curative effect of vertebroplasty (PVP) and kyphoplasty (PKP) on osteoporotic vertebral compression fractures and to observe the clinical effect of the two kinds of surgery. Methods: Sixty osteoporosis patients were randomly divided into two groups. The patients underwent vertebroplasty and kyphoplasty respectively. The VAS scores of preoperative and postoperative 1 day and 6 months were calculated. Dysfunction index score, total cost of hospitalization and so on. Results: The operation time and cumulative fluoroscopy time of PVP group were lower than that of PKP group. The difference between the two groups was statistically significant (P <0.05). The average volume of each vertebral bone cement injection in PVP group and PKP group, There was no significant difference in the number of bone cement leakage, VAS score and ODI score between 1 day after operation and 6 months after operation (P> 0.05), but there was no difference between PVP group and PKP group There was statistical significance (P <0.05). Conclusion: Both of the two minimally invasive procedures can reduce the patient ’s bed rest time, relieve postoperative pain and maintain the stability of the vertebral body for more than 6 months.