解放军医学院学报2018，Vol.39Issue(1)：39-41,44,4.DOI:10.3969/j.issn.2095-5227.2018.01.011
手法复位联合经皮椎体成形术对老年骨质疏松性椎体骨折患者椎体高度及疼痛的影响
Influences of manual reduction combined with percutaneous vertebroplasty on vertebral body height and pain in senile osteoporosis patients with vertebral fracture
孙永强 1李增方 1于增军 1刘哲 1夏晓明1
作者信息
- 1. 石家庄市藁城人民医院, 河北石家庄 052160
- 折叠
摘要
Abstract
Objective To investigate the influences of manual reduction combined with percutaneous vertebroplasty on vertebral body height and pain in vertebral fracture senile osteoporosis patients with vertebral fracture. Methods Totally 195 senile osteoporosis patients with severe vertebral fracture admitted to our department from July 2013 to April 2016 were randomly divided into two groups with 98 cases in research group and 97 cases in control group, and both of the two groups underwent percutaneous vertebroplasty (PVP). Before surgery, the research group were treated with manual reduction, and the improvement of vertebral height and pain level of the two groups were recorded. Results One week after surgery, the heights of anterior, midline and posterior edge of the injured vertebra in the research group were higher than those of control group [(23.97土1.27) mm vs (22.33±1.39) mm, (26.61±1.37) mm vs (24.83±1.08) mm, (24.17±0.75) mm vs (27.34 ± 1.52) mm, P ＜ 0.05, respectively]. VAS scores of all the patients before operation, at 1 weeks, 3 months and 12 months after operation in research group and the control group were (6.28土0.56) vs (6.34 ± 0.58), (2.53 ±0.33) vs (3.18±0.49), (1.34±0.23) vs (2.72 ± 0.40), (1.09 ±0.18) vs (1.87 ±0.25) (All P ＞ 0.05). After operation, VAS scores of both of the two groups decreased significantly, and the research group was significantly lower than that of the control group (P ＜ 0.05). Conclusion The manual reduction combined with percutaneous vertebroplasty has obvious clinical effect in senile osteoporotic vertebral fracture.关键词
椎体骨折/老年人/手法复位/椎体成形术/椎体高度Key words
vertebral fractures/aged/manual reduction/vertebroplasty/vertebral height分类
医药卫生引用本文复制引用
孙永强,李增方,于增军,刘哲,夏晓明..手法复位联合经皮椎体成形术对老年骨质疏松性椎体骨折患者椎体高度及疼痛的影响[J].解放军医学院学报,2018,39(1):39-41,44,4.
