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目的探讨经皮穿刺球囊扩张椎体后凸成形术(PKP)治疗骨质疏松性胸腰椎骨折的效果。方法 82例骨质疏松性胸腰椎骨折患者,随机分为对照组和观察组,各41例。对照组采用椎弓根螺钉固定治疗,观察组实施PKP治疗,对比两组围术期指标及椎前缘高度。结果观察组术中出血量、手术时间及住院时间均短于对照组,植骨量少于对照组,差异有统计学意义(P<0.05);术后3个月,观察组椎前缘高度为(93.1±6.9)%,高于对照组的(87.3±5.7)%,差异有统计学意义(P<0.05)。结论 PKP可减少骨质疏松性胸腰骨折患者术中出血量及植骨量,缩短手术时间及住院时间,促进伤椎恢复。
Objective To investigate the effect of percutaneous puncture balloon kyphoplasty (PKP) on osteoporotic thoracolumbar fractures. Methods 82 cases of osteoporotic thoracolumbar fractures were randomly divided into control group and observation group, 41 cases in each. The control group was treated with pedicle screw fixation, and the observation group was treated with PKP. The perioperative indexes and vertebral height were compared between the two groups. Results The intraoperative blood loss, operation time and hospitalization time in the observation group were shorter than those in the control group, and the bone mass in the observation group was less than that in the control group (P <0.05). At 3 months after operation, the vertebral height (93.1 ± 6.9)%, higher than that of the control group (87.3 ± 5.7)%, the difference was statistically significant (P <0.05). Conclusions PKP can reduce the blood loss and bone mass in patients with osteoporotic thoracolumbar fractures, shorten the operation time and hospital stay, and promote the recovery of injured vertebrae.