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椎体成形术治疗骨质疏松性椎体压缩骨折的临床探讨

冯俊祥 李晶 姚建强 马捷 刘鹏 宋文慧

中国当代医药Issue(13):87-90,4.
中国当代医药Issue(13):87-90,4.

椎体成形术治疗骨质疏松性椎体压缩骨折的临床探讨

Clinical inveatigation of vertebral plasty in the treatment of osteoporosis vertebral compressed fracture

冯俊祥 1李晶 2姚建强 1马捷 1刘鹏 1宋文慧1

作者信息

  • 1. 山西医科大学第二医院脊柱外科,太原 030001
  • 2. 山西医用组织库,太原 030006
  • 折叠

摘要

Abstract

Objective To explore the clinical effect of balloon dilation percutaneous kyphoplasty (PKP) and percuta-neous vertebroplasty (PVP) in the treatment of osteoporotic vertebral compression fractures (OVCF). Methods From March 2012 to February 2014,105 patients with OVCF admitted into our hospital and performed with vertebral plasty were selected and divided into two groups:group A (PKP group,n=48) and group B (PVP group,n=57).The operation time, amount of bone cement injection,VAS score before and after operation,vertebral kyphosis angle, vertebral height be-tween two groups were compared. Results All participants were followed-up for 6 months,VAS score after 1 day and 6 months surgery in two groups displayed statistical difference in comparison with those before surgery (P<0.05).Vertebral kyphosis angle in group A and B after surgery was (9.5±5.0) o and (12.2±3.5) o respectively,and there was a statistical difference compared with before surgery (P<0.01),vertebral height in group A and B after surgery was (2.04±0.41) and (1.32±0.26) cm respectively,which had statistical difference compared with those before surgery (P<0.01).The improve-ment degree of vertebral kyphosis angle and recovery degree of vertebral height in group A was more obvious compared with group B (P<0.01). Conclusion PKP and PVP can effectively alleviate pain in patients with OVCF and improve clinical symptom and life quality of patients,but PKP get some remarkable superiorities on correction of kyphosis and recovery of compressed vertebral height,which has certain research and application value in clinic.

关键词

球囊扩张经皮椎体后凸成形术/经皮椎体成形术/骨质疏松性椎体压缩骨折

Key words

Balloon dilation percutaneous kyphoplasty/Percutaneous vertebroplasty/Osteoporotic vertebral compression fracture

分类

医药卫生

引用本文复制引用

冯俊祥,李晶,姚建强,马捷,刘鹏,宋文慧..椎体成形术治疗骨质疏松性椎体压缩骨折的临床探讨[J].中国当代医药,2015,(13):87-90,4.

中国当代医药

1674-4721

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