高粘度骨水泥治疗轻中度骨质疏松压缩性骨折的优势分析.docVIP

精品论文 参考文献 高粘度骨水泥治疗轻中度骨质疏松压缩性骨折的优势分析 （罗江县人民医院 四川罗江 618500） 　　【摘要】目的:探讨高粘度骨水泥治疗老年轻中度骨质疏松性骨折的优势分析。方法:2013年6月-2016年3月在我科收治的轻中度骨质疏松压缩性骨折患者156例,随机分为观察组及对照组。结果:观察组应用高粘度骨水泥,对照组应用普通骨水泥,术后胸背腰部疼痛均明显缓解，两组视觉疼痛模拟评分法评分差异无统计学意义（Pgt;0.05）；观察组较对照组椎体高度恢复明显,两组椎体术前术后高度恢复有统计学意义（Plt;0.05），观察组无一例骨水泥渗漏,对照组有5例骨水泥渗漏，具有统计学意义（Plt;0.05）；术后CT检查椎体内骨水泥扩散度,观察组相对对照组较好，具有统计学意义（Plt;0.05）。结论:应用高粘度骨水泥，单侧椎弓根穿刺入路治疗轻中度骨质疏松压缩性骨折具有缓解疼痛，恢复椎体高度少骨水泥渗漏，增加骨水泥椎体内扩散度，防止临椎间压缩性骨折的优势。 　　【关键词】骨质疏松；椎体压缩性骨折；高粘度骨水泥；优势分析 　　【中图分类号】R68 【文献标识码】A 【文章编号】1007-8231（2016）25-0002-02 　　【Abstract】Objective To investigate the high viscosity bone cement treatment and analysis of advantages of mild to moderate senile osteoporotic fracture; Methods 2013 06 - 2016 03 month in mild to moderate osteoporotic compression fractures in our hospital from 156 cases of patients, randomly divided into observation group and control group. Results The observation group application of high viscosity bone the control group used the ordinary cement, bone cement, postoperative back pain were significantly alleviated, two groups of visual analogue pain score score difference was statistically significant (Pgt;0.05); the observation group compared with the control group, two groups of vertebral height was restored. The preoperative and postoperative vertebral height restoration was statistically significant (Plt;0.05), observation group with no leakage of bone cement, the control group had 5 cases of bone cement leakage, with statistical significance (Plt;0.05); postoperative CT examination of vertebral bone cement dispersion, the observation group is better than the control group, with statistical significance (Plt;0.05). Conclusion The application of high viscosity bone cement, unilateral pedicle puncture approach for the treatment of mild to moderate osteoporotic fracture has to relieve pain, restore vertebral height, reduce the leakage of bone cement, bone cement dispersion increase vertebral body, prevent the