两种微创术式治疗未合并神经压迫新鲜胸腰椎压缩骨折临床对比研究.docVIP

两种入路下PVP术式治疗未合并神经压迫新鲜胸腰椎压缩骨折临床对比研究 【摘要】目的:探讨。方法：选取例，随机分为A组（例）和B组（例）；比较两组患者QUALEFFO评分等。结果组患者显著优于组（p 0.05）；组患者（p0.05）p 0.05）；QUALEFFO评分均显著低于A组、术前（p 0.05）。结论：。 【关键词】 Clinical comparative study of two kinds of approaches by PVP operation in the treatment of thoracolumbar vertebral compression fractures without nerve compression Abstract：Objective To investigate of two kinds of minimally invasive surgery in the treatment of thoracolumbar vertebral compression fractures without nerve compression including unilateral and bilateral percutaneous vertebroplasty. Methods 90 patients with thoracolumbar vertebral compression fractures without nerve compression in the period from March 2011 to March 2014 in our hospital were chosen and randomly divided into both group including control group 45 patients with unilateral bilateral percutaneous vertebroplasty. and minimally invasive group 45 patients with bilateral percutaneous vertebroplasty; and the clinical indicators in the peri-operation period, the bone cement leakage rate, VAS score and QUALEFFO score before and after operation of both groups were compared. Results The clinical indicators in the peri-operation period of A group was significantly better than B group （p 0.05）. The bone cement leakage rate between 2 groups（p 0.05）. The VAS score of B group was significantly lower than A group and before operation（p 0.05）. The QUALEFFO score of B group was significantly lower than A group and before operation（p 0.05）. Conclusionwith unilateral percutaneous vertebroplasty, unilateral and bilateral percutaneous vertebroplasty in treatment?of thoracolumbar vertebral compression fractures without nerve compression can effectively reduce long-term pain degree, improve the quality of daily life and not increase the risk of bone cement leakage. [Key Words] pedicle; percutaneous vertebroplasty; thoracic and lumbar vertebral compression fractures 胸腰椎压缩性骨折多因骨质疏松所致，已成为威胁中老年健康主要疾病类型之一；以往采用保守方案治疗胸腰椎压缩性骨折易导致腰背疼痛长期遗留，且卧床时间过长亦增加并发症发生风险[1-2