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目的分析经皮球囊扩张椎体成形术(PKP)运用在老年性骨质疏松椎体压缩骨折治疗中的疗效。方法选择2014年12月-2015年9月在深圳市第七人民医院接受治疗的,59例老年性骨质疏松椎体压缩骨折患者作为研究对象,通过双盲法将59例患者分为观察组和对照组,观察组31例给予PKP治疗,对照组28例给予经皮椎体成形术(PVP)治疗。治疗后对两组患者的整体效果进行比较。患者入院后均未发现神经科阳性体征,但都伴有一定程度的腰背部疼痛。结果观察组治疗后在疼痛评分、伤椎体高度、Cobb角以及骨水泥用量上与对照组相比均具有明显的优势,差异有统计学意义(P<0.05)。结论 PKP在治疗老年性骨质疏松椎体压缩骨折中整体疗效均可达到临床预期值,可将其列为首选治疗方法在临床中借鉴。
Objective To analyze the effect of percutaneous balloon angioplasty (PKP) in the treatment of senile osteoporotic vertebral compression fractures. METHODS: From December 2014 to September 2015, 59 patients with senile osteoporotic vertebral compression fractures treated in Shenzhen Seventh People’s Hospital were enrolled. Fifty-nine patients were divided into observation group In the control group, 31 cases in the observation group were treated with PKP, and 28 cases in the control group were treated with percutaneous vertebroplasty (PVP). The overall effect of the two groups of patients was compared after treatment. Neither Neurology-positive signs were found after admission, but all were associated with a certain degree of back and back pain. Results The pain scores, vertebral body height, Cobb angle and the amount of bone cement in the observation group after treatment were significantly higher than those in the control group (P <0.05). Conclusion The overall efficacy of PKP in the treatment of senile osteoporotic vertebral compression fractures can reach the expected clinical value, which can be used as the first choice of treatment in clinical practice.