中国医学创新2025，Vol.22Issue(10)：58-61,4.DOI:10.3969/j.issn.1674-4985.2025.10.014
经皮椎体成形术治疗老年胸腰椎骨折患者的效果
Effect of Percutaneous Vertebroplasty in the Treatment of Elderly Patients with Thoracolumbar Fracture
谢昊真 1许洋 1杨成纲1
作者信息
- 1. 瑞金市人民医院脊柱外科 江西 瑞金 342500
- 折叠
摘要
Abstract
Objective:To explore the clinical effect percutaneous vertebroplasty in the treatment of elderly patients with thoracolumbar fracture.Method:A total of 106 elderly patients with thoracolumbar fracture admitted to Ruijin People's Hospital from January 2022 to December 2023 were selected and divided into control group(n=53)and study group(n=53)by random number table method.The control group was treated with open reduction and internal fixation,and the study group was treated with percutaneous vertebroplasty.The anterior vertebral body height compression rate and kyphotic Cobb angle of the injured vertebra,and the Oswestry disability index(ODI)were compared between the two groups.Surgery time,intraoperative blood loss,intraoperative fluoroscopy times and recovery(pain relief time,hospital stay and fracture healing time)were compared between the two groups.Result:The operation time of the study group was shorter than that of the control group,the intraoperative blood loss was less than that of the control group,and the intraoperative fluoroscopy times was more than that of the control group,the differences were statistically significant(P<0.05).The anterior vertebral body height compression rate and kyphotic Cobb angle of the injured vertebra in both groups 1 month,3,and 6 months after surgery were improved compared with those before surgery,the differences were statistically significant(P<0.05).ODI of the study group 3 and 6 months after surgery were lower than those of the control group,the differences were statistically significant(P<0.05).The pain relief time of the study group was earlier than that of the control group,hospital stay and fracture healing time were shorter than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Percutaneous vertebroplasty can effectively promote functional recovery of elderly patients with thoracolumbar fracture,and accelerate pain relief and fracture healing.关键词
经皮椎体成形术/胸腰椎骨折/后凸Cobb角Key words
Percutaneous vertebroplasty/Thoracolumbar fracture/Kyphotic Cobb angle引用本文复制引用
谢昊真,许洋,杨成纲..经皮椎体成形术治疗老年胸腰椎骨折患者的效果[J].中国医学创新,2025,22(10):58-61,4.
