经皮椎体成形术(PVP)及经皮球囊扩张椎体后凸成形术(PKP)治疗骨质疏松性胸腰椎压缩骨折的临床疗效观察.pdfVIP

提 要 目的：总结评价经皮椎体成形术（PVP ）和经皮球囊扩张椎体后凸成形术(PKP), 对于治疗骨质疏松性胸腰椎压缩骨折的临床疗效的差异，并初步探讨术后各项指标恢 复的差异，为临床应用提供理论依据，为临床医生的选择提供参考。 方法：对山东 中医药大学附属医院脊柱骨科收治的骨质疏松性胸腰椎压缩骨折患者（2009年3月 -2010年8月），应用PVP （经皮椎体成形术）或PKP （经皮球囊扩张椎体后凸成形术） 进行治疗，根据术前和术后资料，分析手术效果及可能影响手术的因素。结果：术后 24小时，两组疼痛视觉模拟评分(VAS)，日常生活活动能力评分(barthel指数) ，与术前 比较差异有统计学意义(P0.05) ；两组间VAS评分和 barthel指数评分差值比较，无统 计学意义(P0.05) ；术后椎体前缘压缩率及Cobb角改善:PVP组与术前比较差异无统计 学意义(P0.05) ；PKP组与术前比较差异有统计学意义(P0.05) 。结论：经皮椎体成形 术及经皮椎体后凸成形术治疗骨质疏松性胸腰椎压缩骨折都可迅速地改善临床症状， 提高患者生活质量。经皮椎体后凸成形术能够一定程度恢复病椎高度并纠正后凸畸 形，但手术时间较长、价格较昂贵；经皮椎体成形术操作简便，手术时间较短，疗效 确切且价格便宜，利于推广应用。 关键词 骨质疏松；经皮椎体成形术(PVP) ；经皮椎体后凸成形术(PKP) ；压缩骨 折； PVP and PKP treatment of osteoporotic thoracolumbar vertebral compression fracture analysis of the efficacy Speciality: Orthopedics of TCM Author: Du Qingyang Tutor:Prof.Xu Zhanwang Objective：Summary evaluation of percutaneous vertebroplasty and kyphoplasty for the treatment of osteoporotic compression fractures of the differences in clinical efficacy ， And to explore differences in postoperative recovery of the indicators, Provide the ， 。 theoretical basis for clinical application Choice of doctors for clinical reference Methods: Shandong Province Spinal Orthopedic Medical University Hospital treated osteoporotic thoracolumbar vertebral compression fracture patients, Application of PVP or PKP treatment, According to information before and after surgery, Analysis of results of operations and the factors that may affect the operation..Result: After 24 hours, two pain visual analogue scale (VAS) ，Activities of daily living score (barthel index) ，Compared with the preoperative difference was statistically significant (P 0.05) 。VAS scores between the two groups and compared barthel index s