术前垫枕联合经皮椎体成形术治疗骨质疏松性胸腰椎压缩性骨折的效果评价

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Abstract ObjectiveTo investigate the clinical effect of preoperative pillow and percutaneous vertebroplasty　(PVP)in the treatment of osteoporotic thoracolumbar vertebral compression fractures.MethodsSixty patients with osteoporotic thoracolumbar vertebral compression fractures admitted to our hospital from February 2014 to June 2017 were selected and divided into control group and study group with 30 cases in each group by random number table method.The control group was treated with PVP,while the study group was treated with preoperative pillow and PVP.The clinical efficacy of the two groups were compared,as well as the vas scores,vertebral anterior height compression ratio,vertebral central height compression ratio and Cobb angle changes before and after 3 d,3 and 6 months.ResultsThe total clinical effective rate in the study group was significantly higher than that in the control group(P<0.05).There was no statistically significant difference in vas scores between the two groups before surgery and 3 days　(P>0.05).The VAS scores of the two groups at 3 and 6 months after surgery were significantly lower than those before surgery,and the VAS scores of the study group at 3 and 6 months after surgery were lower than those of the control group,and the difference was statistically significant(P<0.05).Before surgery,there was no significant difference between the two groups　(P>0.05)in the compression ratio of the height of the anterior vertebral edge.The compression ratio of the height of the anterior verte-bral edge of the two groups at 3 d,3 and 6 months after surgery was significantly lower than that before surgery,and the compression ratio of the height of the anterior vertebral edge of the patients in the study group was significantly lower than that of the control group,the difference was statistically significant(P<0.05).Before surgery,there was no statistical difference between the two groups(P>0.05).at 3 d,3 and 6 months after surgery,the compression ratio of the height of the middle vertebra in the study group was significantly lower than that before surgery,and the compression ratio of the height of the middle vertebra in the study group was significantly lower than that in the control group，the difference was statistically significant(P<0.05).The compression ratio of the height of the middle vertebra in the control group at 3 d after surgery was significantly lower than that before surgery,and the difference was statistically significant(P<0.05).Before surgery,there was no significant difference in Cobb angle between the two groups at different stages,the difference was statistically significant(P>0.05).The Cobb angle of the two groups at 3 d,3 and 6 months after surgery was significantly lower than that before surgery,and the Cobb angle of the study group was significantly lower than that of the control group,the difference was statistically significant(P<0.05).ConclusionThe treatment of osteoporotic thoracic and lumbar vertebral compression fractures with anterior cushion and PVP can significantly relieve pain,restore height of vertebral body and correct Cobb angle malformation.The curative effect is definite.

Key words： Osteoporosis Thoracolumbar compression fractures Percutaneous vertebroplasty Pillow

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	Articles by authors
	CHEN Wen-sheng
	SHEN Lian-cheng
	LONG Hou-cai
	FANG Xiao-ting

Cite this article:

CHEN Wen-sheng,　SHEN Lian-cheng,　LONG Hou-cai, et al. Evaluation of the effect of preoperative pillow and percutaneous vertebrop lasty in the treatment of osteoporotic thoracolumbar com pression fractures[J]. 中国当代医药, 2018, 25(17): 62-65.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I17/62

[1]	邓强，韩宪富，杨镇源，等.垫枕复位结合球囊单侧扩张PKP治疗新鲜骨质疏松性胸腰椎压缩骨折39例[J].中国中医骨伤科杂志，2016，64（11）：46-48.
[2]	中国老年学学会骨质疏松委员会“骨质疏松诊断标准”学科组.中国人骨质疏松症建议诊断标准（第二稿）[J].中国骨质疏松杂志，2000，6（1）：1-3.
[3]	国家中医药管理局.中医内科病证诊断疗效标准（试行）[J].湖北中医杂志，2002，24（4）：F003.
[4]	杜焱，李前龙，陈喜德.单侧与双侧PKP治疗骨质疏松性胸腰椎压缩性骨折疗效对比[J].吉林医学，2016，37（10）：2510-2511.
[5]	杨吉春，田军.中西医结合法治疗老年骨质疏松性胸腰椎压缩性骨折的临床疗效[J].西北国防医学杂志，2016，37：558-560.
[6]	万长浩，万钟.中医康复训练方法辅助治疗老年骨质疏松性胸腰椎压缩性骨折的效果分析[J].中国当代医药，2017，24（28）：111-112.
[7]	黄喆，张炯涛，崔文波.经皮椎体成形术对老年骨质疏松性胸腰椎压缩性骨折患者Cobb角及椎体前缘高度变化的影响[J].深圳中西医结合杂志，2017，8（21）：35-36.
[8]	金沧海，刘勇，刘风霞，等.两种术式治疗骨质疏松性胸腰椎压缩性骨折效果比较[J].青岛大学医学院学报，2016，7（1）：12-13.
[9]	崔志刚，张德光，刘福全.经皮穿刺椎体成形术结合体位复位在老年胸腰椎压缩性骨折中的应用效果[J].中国现代手术学杂志，2017，21（5）：382-386.
[10]	陈海潮，刘光庆，卓杰.椎体成形术结合体位复位治疗老年骨质疏松性椎体压缩性骨折51例[J].中国乡村医药，2016，23（21）：12-13.
[11]	闫万里，金苗.手法结合体位复位、康复训练、抗骨质疏松治疗稳定型胸腰椎体压缩骨折疗效观察[J].长治医学院学报，2017，31（4）：38-40.
[12]	张静，龙亨国，熊小春，等.体外充气复位结合PKP术治疗骨质疏松性胸腰椎压缩性骨折的护理体会[J].中国现代医生，2016，54（20）：136-139.
[13]	郑灿，胡德志，李笔锋，等.术前垫枕结合经皮椎体成形术治疗骨质疏松性胸腰椎压缩性骨折的临床效果观察[J].中国医药导报，2016，13（30）：91-94.
[14]	仇建军，纪斌，王明飞，等.牵引手法复位椎体成形术治疗骨质疏松性胸腰椎体压缩性骨折[J].国际骨科学杂志，2017，7（6）：389-392.
[15]	冉仁国，罗政，张岱阳.PVP与椎体后凸成术治疗骨质疏松性胸腰椎压缩性骨折的疗效比较[J].颈腰痛杂志，2017，38（5）：31-33.