在骨质疏松椎体压缩性骨折中改良经皮椎体成形术应用效果探讨.docVIP

在骨质疏松椎体压缩性骨折中改良经皮椎体成形术应用效果探讨 　　[摘要] 目的 探讨在骨质疏松椎体压缩性骨折中改良经皮椎体成形术的应用效果。 方法 选取骨质疏松椎体压缩性骨折患者97例， 26例采取传统经皮椎体成形术为PVP组；39例采取经皮椎体后凸成形术为PKP组；32例采取改良经皮椎体成形术为改良PVP组，记录三组患者的VAS评分、后凸cobb角改善情况及渗漏率。 结果 三组患者手术后1周时间、手术后6个月时的VAS评分均较手术前有显著的改善（P0.05）；PKP组和改良PVP组的cobb角改善情况显著优于PVP组（P0.05）。 结论 改良PVP能缓减疼痛，同时可降低渗漏率，值得临床推广。 　　[关键词] 骨质疏松椎体压缩性骨折；改良经皮椎体成形术 　　[中图分类号] R683.2 [文献标识码] B [文章编号] 2095-0616（2014）16-167-03 　　An analysis of the effect of modified percutaneous vertebroplasty in the treatment of osteoporotive vertebral compression fracture 　　JIA Shuimiao MENG Saike GAO Zhenfu 　　Department of Spine and Bone Diseases， General Hospital of China Pingmei Shenma Medical Group， Pingdingshan 467000， China 　　[Abstract] Objective To explore the effect of modified percutaneous vertebroplasty in the treatment of osteoporotive vertebral compression fracture. Methods 97 patients with osteoporotive vertebral compression fracture were selected. 26 patients in PVP group received conventional percutaneous vertebroplasty； 39 patients in PKP group received percutaneous kyphoplasty； 32 patients in modified PVP group received modified percutaneous vertebroplasty. VAS scores， improvement of kyphosis Cobb angle and leakage rate in the three groups were observed. Results VAS scores in 1 week and 6 months after the surgery in all the three groups significantly improved compared to those before the surgery（P0.05）； improvement of Cobb angle in PKP group and modified PVP group was significantly better than that in the PVP group （P0.05）. Conclusion Modified percutaneous vertebroplasty helps alleviate pain and lower the leakage rate， which is worthy of clinical promotion. 　　[Key words] Osteoporotive vertebral compression fracture； Modified percutaneous vertebroplasty 　　骨质疏松椎体压缩性骨折（OVCF）患者常见的临床症状是楔形压缩性骨折，临床表现主要以腰背部疼痛为主，脊柱逐渐出现进行性塌陷、后凸畸形等情况，对患者的正常生活造成很大影响[1]。本院就骨质疏松椎体压缩性骨折中改良经皮椎体成形术的应用效果进行了研究，取得了一定的成果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取2013年1月～2014年1月期间来我院进行治疗的骨质疏松椎体压缩性骨折患者97例，其中男36例，女61例，患者的年龄为54～86岁，平均（62.5±5.2）岁。97例患者按照治