经皮椎体成形术在胸腰椎骨折患者中的临床治疗效果OA
Clinical Effect of Percutaneous Vertebroplasty in Patients with Thoracolumbar Fracture
目的:探讨胸腰椎骨折患者采用经皮椎体成形术治疗的效果及对手术创伤程度和脊柱功能的临床影响.方法:选取我院 2021年 5月—2022年 5月收治的 80 例胸腰椎骨折患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组 40例.对照组采用切开复位内固定术治疗,观察组采用经皮椎体成形术治疗.对比 2组的临床总有效率、生物力学指标、疼痛程度、脊柱功能、骨密度和骨钙素水平.结果:观察组的临床总有效率高于对照组,差异有统计学意义(P＜0.05);治疗 3个月后,观察组最大抗压强度、刚度均高于对照组,高度低于对照组,组间差异有统计学意义(P＜0.05);治疗 3 d后,观察组疼痛视觉模拟评分(VAS)低于对照组,差异有统计学意义(P＜0.05);治疗 3 个月后,观察组的Oswestry功能障碍指数(ODI)低于对照组,差异有统计学意义(P＜0.05);治疗 1周后,观察组骨密度、骨钙素水平均高于对照组,组间差异有统计学意义(P＜0.05).结论:胸腰椎骨折患者采用经皮椎体成形术治疗的效果较显著,不仅能有效减轻手术创伤程度,还能改善其生物力学指标和脊柱功能,提高其骨密度和骨钙素水平,临床可进一步推广.
Objective:To investigate the effect of percutaneous vertebroplasty on thoracolumbar fracture and its clinical effect on the degree of surgical trauma and spinal function.Methods:Selecting 80 patients with thoracolumbar vertebral fractures admitted to our hospital from May 2021 to May 2022 as the research subjects,they were divided into a control group and an observation group using a random number table method,with 40 cases in each group.The control group was treated with open reduction and internal fixation surgery,while the observation group was treated with percutaneous vertebroplasty.Compare the clinical total effective rate,biomechanical indicators,pain level,spinal function,bone density,and osteocalcin levels between two groups.Results:The total clinical effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P＜0.05).After 3 months of treatment,the maximum compressive strength and stiffness of the observation group were higher than those of the control group,and the height was lower than that of the control group,the differences between groups were statistically significant(P＜0.05).After 3 days of treatment,The Visual Analogue Scale(VAS)of pain in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05).After 3 months of treatment,the Oswestry Disability Index(ODI)of the observation group was lower than that of the control group,the difference was statistically significant(P＜0.05).After 1 week of treatment,bone density and osteocalcin level in the observation group were higher than those in the control group,the difference was statistically significant(P＜0.05).Conclusion:The effect of percutaneous vertebroplasty on thoracolumbar fracture patients is significant,which can not only effectively reduce the degree of surgical trauma,but also improve the biomechanical indexes and spinal function,and increase the level of bone density and osteocalcin,which can be further popularized in clinic.
张兆川;李燕;迮亚男
山东健康集团枣庄医院,山东 枣庄 277100山东国欣颐养集团枣庄东郊医院
临床医学
胸腰椎骨折经皮椎体成形术手术创伤程度脊柱功能
Thoracolumbar fracturePercutaneous vertebroplastyDegree of surgical traumaSpinal function
《中国伤残医学》 2024 (003)
39-43 / 5
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