单侧及双侧经皮椎体后凸成形术治疗骨质疏松椎体压缩性骨折对比研究.docVIP

单侧及双侧经皮椎体后凸成形术治疗骨质疏松椎体压缩性骨折对比研究 　　[摘要] 目的 比较单侧及双侧经皮椎体后凸成形术治疗骨质疏松椎体压缩性骨折的疗效。 方法 选择2010年1月～2013年1月我院收治的60例中老年骨质疏松性椎体压缩性骨折患者，分为两组，分别采用单侧及双侧经皮椎体后凸成形术治疗，比较治疗效果。 结果 观察组手术时间、术中出血量及骨水泥灌注量均明显短（少）于对照组，两组患者术后的椎体高度、局部Cobb角、VAS评分及ODI评分均较术前明显改善，但两组间比较差异不显著。 结论 单侧经皮椎体后凸成形术具有手术时间短、创伤小等优点，更适宜中老年患者的选择。 　　[关键词] 经皮椎体后凸成形术；骨质疏松椎体压缩性骨折；老年患者 　　[中图分类号] R687.3 [文献标识码] B [文章编号] 2095-0616（2013）14-185-03 　　Comparative study of unilateral and bilateral percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture 　　LIU Bo CHEN Guocheng DENG Liping YE Wenping LIU Feng YE Qingshan 　　GU Ziyun XIE Yushan 　　The Peoples Hospital of Zhongkai Hi-tech Industrial Development Zone in Huizhou City，Huizhou 516229，China 　　[Abstract] Objective To compare the curative effect of unilateral and bilateral percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fractures. Methods 60 senior cases with osteoporotic vertebral compression fractures in our hospital from January 2010 to January 2013 were selected and divided equally into two groups with unilateral and bilateral percutaneous kyphoplasty treatment respectively.The curative effect of two groups were compared. Results The operative time，blood loss and bone cement perfusion in the observation group were significantly shorter （less） than those in the control group.The postoperative vertebral height，local Cobb angle，VAS scores and ODI scores of patients in two groups after the operation were improved more significantly than that before the operation，but the difference between two groups was not significant. Conclusion Unilateral percutaneous kyphoplasty has the advantages of shorter operation time，less trauma，and is more suitable for senior patientsselection. 　　[Key words] Percutaneous kyphoplasty；Osteoporotic vertebral compression fracture；Elderly patients 　　骨质疏松性椎体压缩骨折（OVCF）患者常表现为剧烈的腰背部疼痛，身长缩短、驼背，严重者肺功能的下降，甚至丧失劳动及生活自理能力，严重影响生活质量，给患者带来巨大的痛苦[1]。经皮椎体后凸成形术（PKP）是一种新的微创手术，本研究对单、双侧PKP治疗骨质疏松椎体压缩性骨折进行对比研究，