国际医药卫生导报2017，Vol.23Issue(13)：2045-2048,4.DOI:10.3760/cma.j.issn.1007-1245.2017.13.020
椎体成形术与椎体后凸成形术治疗老年骨质疏松性胸腰椎骨折的临床分析
Vertebroplasty versus kyphoplasty in treatment of osteoporotic thoracolumbar fractures in elderly patients
李裕强 1苏松森 1黄建军 1刘永青 1余海滨 1伍堂洪2
作者信息
- 1. 523900 东莞市第五人民医院骨科
- 2. 523900 东莞市第五人民医院麻醉科
- 折叠
摘要
Abstract
Objective To observe the clinical effect of percutaneous vertebroplasty (PVP) versus percutaneous kyphoplasty (PKP) in the treatment of osteoporotic thoracolumbar fractures (OPTF) in elderly patients.Methods 98 elderly patients with OPTF treated at our hospital from February,2012 to August,2016 were selected and were randomly divided into a control group and an observation group,49 for each group.The control group were treated by PVP and the obervatin group PKP.The clinical effects were compared between these two groups.Results The VAS scores were better after than before the treatment in both groups (t=-19.779 5,-19.218 4,both P ＜ 0.05).The anterior vertebral height and kyphosis Cobb angles were better after than before the treatment in both groups (all P ＜ 0.05).The anterior vertebral height and kyphosis Cobb angles were better in the observation group than in the control group after the treatment (t=7.1656,-7.5574,both P ＜ 0.05).The incidence of complications was 6.12％ in the observation group and was 18.37％ in the control group (x2=3.418 6,P ＜ 0.05).The incidence of adjacent vertebral fractures was 8.16％ in the observation group and was 10.20％ in the control group (x2=0.122 3,P ＞ 0.05).Conclusions PVP and PKP in the treatment of patients with OPTF both are safe and can reliably and effectively to relieve the patients' pain,but PKP is more effective in improving vertebral height,restoring vertebral morphology,and reducing bone cement leakage.关键词
老年患者/骨质疏松/胸腰椎骨折/经皮椎体成形术/经皮椎体后凸成形术Key words
Elderly patients/Osteoporosis/Thoracolumbar fractures/Percutaneous vertebroplasty/Percutaneous kyphoplasty引用本文复制引用
李裕强,苏松森,黄建军,刘永青,余海滨,伍堂洪..椎体成形术与椎体后凸成形术治疗老年骨质疏松性胸腰椎骨折的临床分析[J].国际医药卫生导报,2017,23(13):2045-2048,4.
