不同术式治疗骨质疏松性胸腰椎骨折的效果分析(1)
[摘要] 目的 探讨经皮椎体成形术(PVP)和经皮椎体后凸成形术(PKP)治疗骨质疏松性胸腰椎骨折(OVCF)的效果。 方法 将我院2008年5月～2014年12月收治的128例OVCF患者随机分为PVP组、PKP组，每组64例，PVP组和PKP组分别给予PVP和PKP治疗，观察两组患者手术前后视觉模拟评分(VAS)、椎体高度压缩率及Cobb角的变化。术后半年进行随访，观察两组患者生活质量及术后并发症的情况。 结果 与术前比较，术后两组患者疼痛情况均明显改善(P<0.05)；术后组间比较差异无统计学意义(P>0.05)。PVP组患者手术前、后椎体高度压缩率分别为(29.9±0.7)%、(22.9±7.8)%，PKP组手术前、后分别为(30.0±0.9)%、(16.6±8.4)%，与术前比较，两组术后椎体高度压缩率均降低(P<0.05)，两组术后比较差异也有统计学意义(P<0.05)。PVP组患者手术前、后Cobb角分别为(22.9±5.9)°、(18.5±4.6)°，PKP组手术前、后分别为(23.0±6.1)°、(10.1±3.4)°，与术前比较，两组患者术后Cobb角均得到改善(P<0.05)，术后组间比较差异也有统计学意义(P<0.05)。两组患者术后半年生活质量较术前均有改善，但术后半年组间比较差异无统计学意义(P>0.05)。PVP组术后并发症发生率为18.8%，PKP组为10.9%，两组比较差异有统计学意义(P<0.05)。 结论 PKP、PVP两种术式均能缓解患者的疼痛，改善患者的生活质量，但PKP对于恢复患者椎体高度和矫正畸形方面效果明显优于PVP，且安全性好，值得临床推广。
[关键词] 骨质疏松性椎体压缩骨折；经皮椎体后凸成形术；经皮椎体成形术；视觉模拟评分；椎体高度压缩率
[中图分类号] R683.2 [文献标识码] A [文章编号] 1674-4721(2016)05(a)-0071-04
Effects analysis of different operation in treating osteoporotic vertebral compression fracture
SUN Cheng-shuai
The Second Orthopedics Department，Central Hospital of Chaoyang City in Liaoning Province，Chaoyang 122000，China
[Abstract] Objective To explore the effects of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) in treating osteoporotic vertebral compression fracture (OVCF). Methods 128 OVCF patients from May 2008 to December 2014 of our hospital were randomly divided into PVP group and PKP group.Each group was 64 cases.Patients in PVP group and PKP group was respectively given PVP and PKP.The visual analogue scale (VAS)，compression ratio of vertebral height and changes of Cobb angle in two groups before and after operation were observed.Living quality and complications after operation were observed for six months follow-up. Results Compared with pre-operation，the pain situation in two groups improved obviously after operation (P<0.05)，but the difference between two groups was not obvious after operation (P>0.05).The compression ratio of vertebral height before and after operation in PVP group was respectively (29.9±0.7)% and (22.9±7.8)%，which was respectively (30.0±0.9)% and (16.6±8.4)% in PKP group.The compression ratio of vertebral height after operation in two groups decreased compared with before operation and the difference after operation between two groups had obvious statistical significance (P<0.05).Changes of Cobb angle before and after operation in PVP group was respectively (22.9±5.9)°，(18.5±4.6)°，which was respectively (23.0±6.1)°，(10.1±3.4)°，Changes of Cobb angle after operation in two groups improved compared with before operation and the difference after operation between two groups had statistical significance (P<0.05).The postoperation life quality of patients after half a year improved than that of before operation，but the difference between two groups after half a year was not obvious after operation (P>0.05).The incidence rate of postoperative complications in PVP group was 18.8%，which was 10.9% in PKP group and the difference had statistical significance (P<0.05). Conclusion Both of PKP and PVP can relief the pain of patients，improve life quality of patients，but PKP is better than PVP in the field of recovery vertebral height and correct irregularities and with good safety.It is worth to popularize in clinic., http://www.100md.com(孙程帅)
[关键词] 骨质疏松性椎体压缩骨折；经皮椎体后凸成形术；经皮椎体成形术；视觉模拟评分；椎体高度压缩率
[中图分类号] R683.2 [文献标识码] A [文章编号] 1674-4721(2016)05(a)-0071-04
Effects analysis of different operation in treating osteoporotic vertebral compression fracture
SUN Cheng-shuai
The Second Orthopedics Department，Central Hospital of Chaoyang City in Liaoning Province，Chaoyang 122000，China
[Abstract] Objective To explore the effects of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) in treating osteoporotic vertebral compression fracture (OVCF). Methods 128 OVCF patients from May 2008 to December 2014 of our hospital were randomly divided into PVP group and PKP group.Each group was 64 cases.Patients in PVP group and PKP group was respectively given PVP and PKP.The visual analogue scale (VAS)，compression ratio of vertebral height and changes of Cobb angle in two groups before and after operation were observed.Living quality and complications after operation were observed for six months follow-up. Results Compared with pre-operation，the pain situation in two groups improved obviously after operation (P<0.05)，but the difference between two groups was not obvious after operation (P>0.05).The compression ratio of vertebral height before and after operation in PVP group was respectively (29.9±0.7)% and (22.9±7.8)%，which was respectively (30.0±0.9)% and (16.6±8.4)% in PKP group.The compression ratio of vertebral height after operation in two groups decreased compared with before operation and the difference after operation between two groups had obvious statistical significance (P<0.05).Changes of Cobb angle before and after operation in PVP group was respectively (22.9±5.9)°，(18.5±4.6)°，which was respectively (23.0±6.1)°，(10.1±3.4)°，Changes of Cobb angle after operation in two groups improved compared with before operation and the difference after operation between two groups had statistical significance (P<0.05).The postoperation life quality of patients after half a year improved than that of before operation，but the difference between two groups after half a year was not obvious after operation (P>0.05).The incidence rate of postoperative complications in PVP group was 18.8%，which was 10.9% in PKP group and the difference had statistical significance (P<0.05). Conclusion Both of PKP and PVP can relief the pain of patients，improve life quality of patients，but PKP is better than PVP in the field of recovery vertebral height and correct irregularities and with good safety.It is worth to popularize in clinic., http://www.100md.com(孙程帅)