Clinical effect of percutaneous vertebroplasty in the treatment of senile osteoporotic thoracolumbar compression fracture
YANG Hong-zhi1 XIONG Liang-yu2 HU Bin1 YANG Yong-hua1 WANG Xi-chun1 GAO Zhan-wang1
1.Department of Orthopaedics,Jiujiang First People′s Hospital,Jiangxi Province,Jiujiang 332000,China;
2.Department of Orthopedics,Zhangshu People′s Hospital,Jiangxi Province,Zhangshu 332000,China
摘要目的 探讨经皮椎体成形术治疗老年骨质疏松性胸腰椎压缩性骨折的临床效果。方法 选择2017年1月～2019年6月九江市第一人民医院收治的50 例老年骨质疏松性胸腰椎压缩性骨折患者为对象，将其分为两组，分组方式按照随机抽签法。给予对照组常规复位治疗方法，给予研究组经皮椎体成形术治疗方法。比较两组的治疗效果、治疗前及治疗后腰痛（ODI）评分、治疗前及治疗后视觉模拟量表（VAS）评分、治疗后椎体恢复情况，治疗后并发症发生情况。结果 研究组临床治疗总有效率高于对照组，差异有统计学意义（P<0.05）；研究组治疗后3、7、14 d ODI 评分均低于对照组，差异有统计学意义（P<0.05）；研究组治疗后3、7、14 d VAS 评分均低于对照组，差异有统计学意义（P<0.05）；研究组治疗后Cobb 角低于对照组，差异有统计学意义（P<0.05）；研究组治疗后后缘高度、中线高度、前缘高度高于对照组，差异有统计学意义（P<0.05）；研究组治疗后并发症总发生率低于对照组，差异有统计学意义（P<0.05）。结论 老年骨质疏松性胸腰椎压缩性骨折实施经皮椎体成形术治疗的临床效果确切。
Abstract：Objective To investigate the clinical effect of percutaneous vertebroplasty in the treatment of osteoporotic thoracolumbar compression fractures in the elderly. Methods A total of 50 elderly patients with osteoporotic thoracolumbar compression fractures in Jiujiang First People′s Hospital from January 2017 to June 2019 were divided into two groups according to the random drawing method.The control group was treated with routine reduction and the study group was treated with percutaneous vertebroplasty.The therapeutic effect,score of low back pain (ODI) before and after treatment,visual analogue scale (VAS) score before and after treatment,vertebral body recovery after treatment and complications after treatment were compared between the two groups. Results The total effective rate of clinical treatment in the study group was higher than that in the control group (P<0.05).The ODI scores of 3,7 and 14 days after treatment in the study group were lower than those in the control group (P<0.05).The VAS scores of 3,7 and 14 days after treatment in the study group were lower than those in the control group (P<0.05).The Cobb angle of the study group was lower than that of the control group (P<0.05).The posterior edge height,midline height and anterior edge height of the study group were higher than those of the control group (P<0.05).The total incidence of complications after treatment in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical effect of percutaneous vertebroplasty in the treatment of osteoporotic thoracolumbar compression fractures in the elderly is accurate.
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