在骨质疏松椎体压缩性骨折中改良经皮椎体成形术的应用效果探讨.docxVIP

在骨质疏松椎体压缩性骨折中改良经皮椎体成形术的应用效果探讨 ［ ］目的探讨在骨质疏松椎体压缩性骨折中改良经 皮椎体成形术的应用效果。方法选取骨质疏松椎体压缩性 骨折患者97例，26例采取传统经皮椎体成形术为PVP组； 39例采取经皮椎体后凸成形术为PKP组；32例采取改良经 皮椎体成形术为改良PVP组，记录三组患者的VAS评分、后 凸cobb角改善情况及渗漏率。结果三组患者手术后1周 时间、手术后6个月时的VAS评分均较手术前有显著的改善 (P0. 05)； PKP组和改良PVP组的cobb角改善情况显著优于 PVP组(P0. 05)。结论 改良PVP能缓减疼痛，同时可降低 渗漏率，值得临床推广。 ［关键词］骨质疏松椎体压缩性骨折；改良经皮椎体成 形术 ［中图分类号］R683. 2 ［文献标识码］B ［文章编号］ 2095-0616 (2014) 16-167-03 An analysis of the effect of modified percutaneous vertebroplasty in the treatment of osteoporotive vertebral compression fracture JIA Shuimiao MENG Saike GAO Zhenfu Department of Spine and Bone Diseases, General Hospital of China Pingmei Shenma Medical Group , Pingdingshan 467000, China [Abstract] Objective To explore the effect of modified percutaneous vertebroplasty in the treatment of osteoporotive vertebral compression fracture? Methods 97 patients with osteoporotive vertebral compression fracture were selected. 26 patients in PVP group received conventional percutaneous vertebroplasty ； 39 patients in PKP group received percutaneous kyphoplasty； 32 patients in modified PVP group received modified percutaneous vertebroplasty. VAS scores, improvement of kyphosis Cobb angle and leakage rate in the three groups were observed. Results VAS scores in 1 week and 6 months after the surgery in all the three groups significantly improved compared to those before the surgery (PO.O5)； improvement of Cobb angle in PKP group and modified PVP group was significantly better than that in the PVP group (P0. 05). Conclusion Modified percutaneous vertebroplasty helps alleviate pain and lower the leakage rate, which is worthy of clinical promotion. .Key words] Osteoporotive vertebral compression fracture； Modified percutaneous vertebroplasty 骨质疏松椎体压缩性骨折(OVCF)患者常见的临床症状 是楔形压缩性骨折，临床表现主要以腰背部疼痛为主，脊柱 逐渐出现进行性塌陷、后凸畸形等情况，对患者的正常生活 造成很大影响［1］。本院就骨质疏松椎体压缩性骨折中改良 经皮椎体成形术的应用效果进行了研究，取得了一定的成 果，现报道如下。 1资料与方法 1.1 一般资料 选取2013年1月?2014年1月期间来我院进行治疗的 骨质疏松椎体压缩性骨折患者97例，其中男36例，女61 例，患者的年龄为54?86岁，平均(62. 5±5. 2)岁。97例 患者按照治疗方式进行