引用本文:刘 刚,石展英,彭小忠,胡居正,杨成志.经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的临床效果分析[J].中国临床新医学,2020,13(1):75-78.
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经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的临床效果分析
刘 刚,石展英,彭小忠,胡居正,杨成志
545005 广西,柳州市工人医院骨科
摘要:
[摘要] 目的 分析经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩性骨折(OVCF)的临床疗效。方法 选取该院2017-01~2018-01因OVCF行PVP治疗的患者158例(205椎),对比患者手术前后视觉模拟评分法(VAS)、Oswesty功能障碍指数(ODI)评分,伤椎前缘高度、Cobb角变化,以评价治疗效果;同时分析临床疗效与骨水泥注入量的关系。结果 所有患者术后VAS评分、ODI评分均较术前明显降低,差异有统计学意义(P<0.05);术后伤椎前缘高度、Cobb角均较术前明显恢复,差异有统计学意义(P<0.05)。结论 PVP治疗OVCF具有较好的临床效果,可尽早缓解疼痛,提高患者生活质量。
关键词:  椎体成形术  骨质疏松  椎体压性缩骨折  骨水泥
DOI:10.3969/j.issn.1674-3806.2020.01.18
分类号:R 68
基金项目:
Clinical effect of percutaneous vertebroplasty on osteoporotic vertebral compression fractures
LIU Gang, SHI Zhan-ying, PENG Xiao-zhong, et al.
Department of Orthopaedics, Liuzhou Worker′s Hospital, Guangxi 545005, China
Abstract:
[Abstract] Objective To analyze the clinical effect of percutaneous vertebroplasty(PVP) on osteoporotic vertebral compression fractures(OVCF). Methods One hundred and fifty-eight patients(205 vertebrae) treated with PVP due to OVCF were selected in our hospital from January 2017 to January 2018. The visual analogue score(VAS), the oswestry disability index(ODI) scores, the height of the anterior edge of the injured vertebrae and the Changes of Cobb angles were compared before and after operation to evaluate the therapeutic effects. The relationship between the clinical effect and the injection volume of bone cement was analyzed. Results The VAS scores and the ODI scores of all the patients after operation were significantly lower than those before operation(P<0.05). The height of the anterior edge of the injured vertebrae and the Cobb angle were significantly recovered after operation(P<0.05). Conclusion PVP has a good clinical effect on OVCF, which can relieve pain as early as possible, and improve the quality of life of the patients.
Key words:  Vertebroplasty  Osteoporosis  Vertebral compression fractures  Bone cement