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经皮椎体成形术在胸腰椎骨折患者中的临床治疗效果

张兆川 李燕 迮亚男

中国伤残医学2024,Vol.32Issue(3):39-43,5.
中国伤残医学2024,Vol.32Issue(3):39-43,5.DOI:10.13214/j.cnki.cjotadm.2024.003.011

经皮椎体成形术在胸腰椎骨折患者中的临床治疗效果

Clinical Effect of Percutaneous Vertebroplasty in Patients with Thoracolumbar Fracture

张兆川 1李燕 2迮亚男1

作者信息

  • 1. 山东健康集团枣庄医院,山东 枣庄 277100
  • 2. 山东国欣颐养集团枣庄东郊医院
  • 折叠

摘要

Abstract

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.

关键词

胸腰椎骨折/经皮椎体成形术/手术创伤程度/脊柱功能

Key words

Thoracolumbar fracture/Percutaneous vertebroplasty/Degree of surgical trauma/Spinal function

分类

医药卫生

引用本文复制引用

张兆川,李燕,迮亚男..经皮椎体成形术在胸腰椎骨折患者中的临床治疗效果[J].中国伤残医学,2024,32(3):39-43,5.

中国伤残医学

1673-6567

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