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经皮椎体成形术与保守方法治疗脊柱骨质疏松骨折疗效分析

汪昌林 张秀军 许格

局解手术学杂志2012,Vol.21Issue(5):550-551,553,3.
局解手术学杂志2012,Vol.21Issue(5):550-551,553,3.

经皮椎体成形术与保守方法治疗脊柱骨质疏松骨折疗效分析

Analysis of percutaneous vertebroplasy and conservative therapy in osteoporotic vertebral compressive fractures

汪昌林 1张秀军 2许格2

作者信息

  • 1. 安徽医科大学公共卫生学院,安徽合肥230032
  • 2. 六安市人民医院骨科,安徽六安237005
  • 折叠

摘要

Abstract

Objective To compare the clinical effect of percutaneous vertebroplasy(PVP) and conservative therapy in osteoporotic vertebral compressive fractures (OVCF) , and analysis the clinical value of PVP. Methods 87 patients were selected in our department from January 2008 to July 2011, and there were 42 cases with PVP (observation group) and 45 cases with conservative treatment (control group). Analysis the clinical effect and complications of the two groups and make a comparison. Results There was no difference between two groups in VAS and ODI score before operation and 6 months after treatment(P > 0.05 ). There was a significant difference between the two groups in VAS and ODI score after operative during short time, including the third day, the first month and the third month(P <0. 05). There were eight cases of complications which were related to bone cement leakage in PVP, but the spinal cord and nerve compression symptoms did not occurred. There were one cases of bedsore, one cases of urinary tract infection and one cases of pulmonary infection occurred in control group. There were 3 patients occurred vertebral compression fracture after 5 ~6 months in observation group, and four cases in control group with no statistical significance between the two groups(P >0. 05). Conclusion PVP is an reliable treatment in OVCF, which can relieve pain quickly and effectively and avoid the complications of longterm-bed.

关键词

经皮椎体成形术/保守治疗/骨质疏松/骨折

Key words

percutaneous vertebroplasy/ conservative therapy/ osteoporosis/ fracture

分类

医药卫生

引用本文复制引用

汪昌林,张秀军,许格..经皮椎体成形术与保守方法治疗脊柱骨质疏松骨折疗效分析[J].局解手术学杂志,2012,21(5):550-551,553,3.

局解手术学杂志

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1672-5042

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