椎体成形术和传统开放性手术治疗脊柱压缩骨折的效果对比

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摘要目的探讨椎体成形术和传统开放性手术治疗脊柱压缩骨折的效果。方法选取2013年3月～2015年10月在我院住院治疗的140例脊柱压缩骨折患者，根据平均分配法分为对照组和研究组，各70例。对照组采用传统开放性手术治疗，研究组采用椎体成形术治疗。比较两组的手术情况、术后住院时间、疼痛评分（VAS量表）和局部Cobb角（脊椎侧围X线片测定）。结果研究组的术中出血量少于对照组，术后住院时间显著短于对照组，差异有统计学意义（P＜0.05）。两组术后1 d、术后1个月的疼痛评分显著低于治疗前，差异有统计学意义（P＜0.05）。观察组术后1 d、术后1个月的疼痛评分显著低于对照组，差异有统计学意义（P＜0.05）。两组术后7 d与术后1个月的局部Cobb角显著小于治疗前，差异有统计学意义（P＜0.05）。研究组术后7 d与术后1个月的局部Cobb角显著小于对照组，差异有统计学意义（P＜0.05）。结论椎体成形术应用于脊柱压缩骨折患者能有效改善局部Cobb角，缓解疼痛程度，减少住院时间，对于患者的手术创伤和并发症较少，值得临床推广应用。

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	娄冰
	王献梅

关键词 ：椎体成形术, 脊柱压缩骨折, 脊椎, 疼痛

Abstract：ObjectiveTo explore the effectof vertebroplasty and traditional open surgery in the treatment of spinal compression fractures.M ethods140 patients with spinal compression fractures were enrolled in our hospital from March 2013 to October 2015.They were evenly divided into the control group and the research group according to the average distributionmethod,70 cases in each group.The control group was treated with traditional open surgery,and the research group was given vertebroplasty.The operative condition,postoperative hospital stay,pain score (VAS scale)and local Cobb angle (lateral side of vertebrae by X-ray)were compared in the two groups.ResultsThe amount of intraoperative bleeding in the research group was less than that in the control group,and the hospitalization time in the research group was significantly shorter than that in the control group,with significant difference (P＜0.05).The pain scores of the two groups at 1 d and 1month after operation was significantly lower than that before treatment,with significant difference(P＜0.05).The pain scores of the research group at 1 d and 1 month after operation was significantly lower than that of the control group,with significant difference (P＜0.05).The local Cobb angle in the two groups at 1 d and 1 month after operation was significantly less than that before treatment,with significant difference (P＜0.05).The local Cobb angle of the research group at 1 d and 1 month after operation was significantly less than that of the control group,with significant difference (P＜0.05).ConclusionVertebroplasty is effective in improving the local Cobb angle,relieving pain and shortening the hospital stay with mild surgical trauma and few postoperative complications,which is worthy of clinical promotion and application.

Key words： Vertebroplasty Spinal compression fractures Spine Pain

引用本文:

娄冰;王献梅. 椎体成形术和传统开放性手术治疗脊柱压缩骨折的效果对比[J]. 中国当代医药, 2017, 24(22): 90-92.
LOU Bing;WANG Xian-mei. Effect com parison of vertebrop lasty and traditional open surgery in the treatment of spinal com pression fractures. 中国当代医药, 2017, 24(22): 90-92.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2017/V24/I22/90

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