椎体后凸成形术与保守治疗骨质疏松性脊柱骨折对比研究.docVIP

椎体后凸成形术与保守治疗骨质疏松性脊柱骨折对比研究 　　[摘要] 目的 探讨椎体后凸成形术与保守治疗骨质疏松性脊柱骨折的效果比较。方法 随机抽取该院于2015年3月―2017年9月收治的60例骨质疏松性脊柱骨折患者，运用随机数字表法将其分为对照组（n=30）与实验组（n=30），对照组予以保守治疗，实验组予以椎体后凸成形术治疗，观察两组患者的临床治疗效果、伤椎前后中柱椎体高度、Cobb角变化情况与VAS疼痛评分。 ?Y果 治疗前，两组患者的中柱椎体高度、Cobb角与VAS疼痛评分差异无统计学意义（t=0.678、0.214、0.101，P=0.5010、0.831、0.920）；治疗后，实验组的临床治疗总有效率为96.67%，明显高于对照组的60.00%（χ2=11.882，P=0.000 6）；其中柱椎体高度、Cobb角与VAS疼痛评分分别为（19.71±1.29）mm、（36.15±3.18）°与（50.64±5.27）分，对照组的分别为（18.62±1.09）mm，（34.07±2.64）°与（67.92±5.63）分，差异有统计学意义（t=3.535、2.756、12.273，P=0.000 8、0.008 0、0.000）。结论 相比于保守治疗，椎体后凸成形术能够有效的治疗骨质疏松性脊柱骨折，提升患者的治愈率与预后质量，具有较高的临床推广价值。 　　[关键词] 骨质疏松性脊柱骨折；椎体后凸成形术；保守治疗；临床效果 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）12（c）-0079-03 　　[Abstract] Objective This paper tries to investigate the effect of percutaneous kyphoplasty and conservative treatment of osteoporotic spine fracture. Methods 60 cases of osteoporotic spinal fractures from March 2015 to September 2017 were randomly selected and were randomly divided into control group （n=30） and experimental group （n=30）， the control group received conservative treatment and the experimental group received kyphoplasty treatment， the clinical effect of two groups of patients， before and after the vertebral column in vertebral height， Cobb angle and VAS pain score were observed. Results Before treatment， the two groups of patients with central column vertebral height， Cobb angle and VAS pain score had no significant difference， not statistically significant（t=0.678， 0.214，0.101，P=0.501 0，0.831，0.920）； after treatment， the total effective rate of the experimental group was 96.67%， which was significantly higher than that of the control group of 60.00%，（χ2=11.882，P=0.000 6）. The vertebral body height， Cobb angle and VAS pain score were（19.71±1.29） mm，（36.15±3.18）° and （50.64±5.27） points respectively， while the control group were （18.62±1.09） mm （34.07±2.64）° and （67.92±5.63） points respectively， with statistical significance， （t=3.535， 2.756，12.273，P=0.000 8， 0.008 0，0.000）. C