骨质疏松症并发脊柱压缩性骨折发病特点及临床治疗分析.docVIP

骨质疏松症并发脊柱压缩性骨折发病特点及临床治疗分析 　　[摘要] 目的 研究探讨骨质疏松并发脊柱压缩性骨折的发病特点、临床治疗方法及效果。 方法 整群该院2013年3月―2014年3月收治的老年骨质疏松并发脊柱压缩性骨折的患者80例作为研究对象，按治疗方式不同分非手术治疗组（30例）和手术治疗组（50例），手术组患者组内又分为开放式手术治疗组（20例）和微创治疗组（30例），分别对比起临床治疗效果。结果 患者经开放手术治疗后的Cobb角为（17.4±9.8）°，显著优于其他非手术治疗组（31.4±10.9）°和微创手术组（27.4±12.5°），比较差异有统计学意义。非手术治疗组、开放手术治疗组和微创手术治疗组患者的治疗优良率分别为40.0%、70.0%和83.3%，以微创手术组的患者优良率最高，显著优于其他两组，比较差异有统计学意义（P0.05）。结论 在不同手术治疗方式中又以经皮椎体形成术或经皮后凸形成术治疗骨质疏松并发脊柱压缩性骨折效果最好，具体治疗方式的选择要根据病情确定。 　　[关键词] 骨质疏松症并发脊柱压缩性骨折；发病特点；临床治疗 　　[中图分类号] R683 [文献标识码] A [文章编号] 1674-0742（2015）11（c）-0042-03 　　[Abstract] Objective To discuss the clinical characteristics， clinical treatment method and effect. Methods 80 cases of patients with osteoporosis with vertebral compression fractures treated in our hospital from March 2013 to March 2014 were selected as the research object and divided into non-operative treatment group （30 cases） and surgical treatment group （50 cases） according to the different treatment methods， surgical treatment group were divided into open surgical treatment group （20 cases） and minimally invasive treatment group （30 cases）， the clinical treatment effects of which were respectively compared. Results The cobb angle of patients after open surgical treatment was （17.4±9.8）°， which was significantly better than that in the non-operative treatment group （31.4±10.9）°and in the minimally invasive treatment group （27.4±12.5）°， the comparison of which was statistically different. The excellent and good rates of treatment in the non-operative treatment group， open surgical treatment group and minimally invasive treatment group were respectively 40.0%， 70.0% and 83.3%， and the minimally invasive treatment group of them was the highest， which was significantly better than the other two groups ， the comparison of which was statistically different（P0.05）. Conclusion Of all the surgical treatment patterns， percutaneous vertebral body formation operation or percutaneous posterior convex formation operation in the treatme