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外科研究与新技术（中英文）

外科研究与新技术 ›› 2022, Vol. 11 ›› Issue (1): 22-24.doi: 10.3969/j.issn.2095-378X.2022.01.005

• 论著 • 上一篇    下一篇

椎体后凸成形术在多椎体骨质疏松骨折治疗中的效果分析

刘广鹏, 朱延林, 田德宇   

  1. 山东玲珑英诚医院骨二科,山东 招远 265400
  • 收稿日期:2021-03-23 出版日期:2022-03-28 发布日期:2022-08-17
  • 作者简介:刘广鹏（1974—）,男,硕士研究生,副主任医师,从事临床创伤骨科工作;电子信箱：1186373990@qq.com

Effect of kyphoplasty on osteoporotic vertebral compression fracture

LIU Guangpeng, ZHU Yanlin, TIAN Deyu   

  1. The Second Department of Orthopedics, Shandong Linglong Yingcheng Hospital, Zhaoyuan 265400, Shandong, China
  • Received:2021-03-23 Online:2022-03-28 Published:2022-08-17

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摘要： 目的 观察经皮椎体后凸成形术（percutaneous kyphoplasty, PKP）在多椎体骨质疏松性骨折（osteoporotic vertebral compression fracture, OVCF）治疗中的临床效果。方法 选择2018年4月—2021年3月间120例多椎体OVCF患者为探究对象,随机分为观察组（n=60例,行PKP术）和对照组（n=60例,保守治疗）,观察两组疗效。结果 治疗后,两组的伤椎平均高度、后凸畸形角、疼痛VAS评分有显著改善（P<0.05）。观察组伤椎平均高度、后凸畸形角显著高于对照组（P<0.05）,观察组疼痛VAS评分显著低于对照组（P<0.05）。观察组FIM评分显著高于对照组（P<0.05）。结论 PKP在多椎体OVCF治疗中的效果显著,能明显改善患者疼痛症状,恢复伤椎高度和纠正后凸畸形角,提升患者日常生活质量水平,可在临床推广应用。

关键词: 椎体后凸成形术, 多椎体, 骨质疏松, 骨折

Abstract: Objective To observe the clinical effect of percutaneous kyphoplasty （PKP） on osteoporotic vertebral compression fracture （OVCF）. Methods A total of 120 patients with OVCF from April 2018 to March 2021 were selected as study subjects and randomly divided into an observation group （n=60, receiving PKP） and a control group （n=60, receiving conservative treatment）, and the efficacy of the two groups was observed. Results After treatment, the average height of injured vertebrae, kyphosis angle, and VAS score in both groups were significantly improved （P<0.05）, the average height of injured vertebrae and kyphosis angle in the observation group were significantly higher than those in the control group （P<0.05）, and the VAS score in the observation group was significantly lower than that in the control group （P<0.05）. FIM score of the observation group was significantly higher than that of the control group （P<0.05）. Conclusion PKP has a significant effect on OVCF, which can significantly alleviate pain symptoms, restore the height of injured vertebra, and correct kyphosis deformity angle, improve the quality of daily life of patients, and can be promoted in clinical application.

Key words: Kyphoplasty, Multiple vertebral body, Osteoporosis, Fracture

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