单侧穿刺椎体后凸成形术治疗骨质疏松椎体压缩性骨折疗效剖析.docVIP

单侧穿刺椎体后凸成形术治疗骨质疏松椎体压缩性骨折疗效剖析 　　【摘要】目的探讨在骨质疏松椎体压缩性骨折中实施单侧穿刺椎体后凸成形术（PKP）治疗的临床应用效果。方法将2015年5月～2016年5月收治的45例骨质疏松椎体压缩性骨折患者作为研究对象，并对其实施单侧穿刺PKP术进行治疗，全部随访1年，分析患者术前、术后的椎体前缘高度、病椎后凸角度、疼痛评分状况、生活质量状况以及Oswestry 评分状况。结果与术前相比，患者术后的椎体前缘高度恢复明显，且病椎后凸角度状况得到有效改善，比较差异有统计学意义（P0.01）。与术前相比，术后患者的疼痛评分状况明显降低，且生活质量状况、Oswestry 评分状况得到有效改善，比较差异有统计学意义（P0.01）。结论在骨质疏松椎体压缩性骨折中应用单侧穿刺PKP术治疗对后凸畸形有较好的矫正作用，可以促进椎体高度的恢复，进而有效缓解患者的疼痛，提高其总体生活质量，适合进一步推广。 　　【关键词】单侧穿刺PKP?g；骨质疏松椎体压缩性骨折；椎体前缘高度 　　中图分类号：R683.2文献标识码：ADOI：10.3969/j.issn2018.02.005 　　Analysis of clinical effect of unilateral puncture PKP in the treatment 　　of osteoporotic vertebral compression fracture 　　HUANG Mingzhi，ZHUANG Yong，SHANG Xianwen 　　（Department of Orthopedics，Affiliated Hospital of Guizhou Medical University，Guiyang 550001，China） 　　【Abstract】ObjectiveTo evaluate the clinical effect of unilateral puncture percutaneous kyphoplasty（PKP） in the treatment of osteoporotic vertebral compression fractures.Methods45 cases of osteoporotic vertebral compression fracture admitted to hospital from May，2015 to May，2016 were selected as the object of this study.All patients were treated with unilateral puncture PKP and followed up for 1 year.The anterior height of vertebral body，kyphosis angle，pain score，quality of life and Oswestry score were analyzed before and after operation.ResultsCompared with that before operation，the anterior height of vertebral body recovered significantly，and the kyphosis angle improved effectively after operation，difference was statistically significant（P0.01）.The postoperative pain score was significantly lower than that before operation，and the quality of life and Oswestry score improved effectively，difference was statistically significant（P0.01）.ConclusionUnilateral puncture PKP can correct kyphosis，promote the recovery of vertebral body height，relieve the pain of the patients，and improve the overall quality of life，which is suitable for further promotion. 　　【Key words】 unilateral puncture PKP；osteoporotic