PKP与PVP治疗骨质疏松性椎体压缩性骨折对比分析.docxVIP

PKP与PVP治疗骨质疏松性椎体压缩性骨折对比分析 　　摘 要 目的：探讨PKP与PVP治疗骨质疏松性椎体压缩性骨折对比。方法：选择80例骨质疏松性椎体压缩性骨折患者根据手术方式意愿分为PVP组和PKP组各40例，比较两组骨质疏松性椎体压缩性骨折治疗效果、手术时间、全部治疗费用、骨水泥应用情况、干预前后患者椎体疼痛程度、伤椎高度及骨水泥渗漏发生率。结果：两组病症和治疗效果无显著差异；干预前两组椎体疼痛程度、伤椎高度相近，干预后两组椎体疼痛程度和伤椎高度均改善，而PKP组椎高度恢复优于PVP组；PVP组手术时间、全部治疗费用少于PKP组，骨水泥应用情况和骨水泥渗漏发生率多于PKP组。结论：PKP与PVP治疗骨质疏松性椎体压缩性骨折均有良好效果，但两者各有各自的优缺点，在治疗时需根据患者情况选择合适的方式。　　关键词 PKP PVP 骨质疏松性椎体压缩性骨折　　中图分类号： 文献标识码：B 文章编号：1006--0051-02　　Comparison and analysis of PKP and PVP in the treatment of osteoporotic vertebral compression fractures　　TANG Siya*　　　　ABSTRACT Objective： To discuss the effects of PKP and PVP in the treatment of osteoporotic vertebral compression fractures. Methods： Eighty cases of patients with osteoporotic vertebral compression fractures were selected and divided into PVP group and PKP group with 40 cases each based on their intention to surgical methods. The therapeutic effects， the operation time， total cost of the treatment， the application of bone cement， the degree of vertebral body pain before and after intervention， the height of vertebral injury and the incidence of bone cement leakage were compared between the two groups. Results： There were no significant differences between the two groups in disease symptoms and therapeutic effects ， however， the vertebral pain and vertebral height were improved and the recovery of vertebral height was much better in group PVP than in group PKP after treatment . The operation time and total costs of the treatment were less but the application of bone cement and the incidence of bone cement leakage were higher in group PKP than in group PVP . Conclusion： Both PKP and PVP therapies possess a good effect on osteoporotic vertebral compression fractures， however， each of them has its own advantages and disadvantages， so a suitable therapy should be chosen based on patient conditions.　　KEY WORDS PKP； PVP； osteoporotic vertebral compression fracture　　?皮穿刺椎体成形术治疗骨质疏松性椎体压缩性骨折是在影像学下准确穿刺，将骨水泥注入病变椎体。而经皮球囊扩张椎体后凸成形术是先用球囊扩张椎体，左右撑