目的 评价经皮椎体成形术治疗骨质疏松性椎体压缩骨折的疗效和安全性。方法 以2016年8月—2019年5月收治的骨质疏松性椎体压缩骨折患者84例为研究对象,采用随机数字表法平均分为传统组和经皮椎体成形术组。给予传统组(n=42)患者传统非手术方法进行治疗,给予经皮椎体成形术组(n=42)患者经皮椎体成形术治疗。评价两组患者疼痛VAS评分、椎体压缩率、伤椎Cobb角以及日常生活能力(ADL)评分的差异性。结果 治疗后,经皮椎体成形术组VAS疼痛评分值(1.48±0.15)分、椎体压缩率(16.58±7.15)%、伤椎Cobb角(9.23±3.11)°,ADL评分(21.08±0.45)分,均明显低于传统组(P<0.05)。结论 相比常规保守方法治疗而言,经皮椎体成形术治疗骨质疏松性椎体压缩骨折的疗效和安全性更加显著,能够明显缓解患者的痛苦,提高日常生活能力,值得临床推广应用。

Objective To evaluate the efficacy and safety of percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures.Methods From August 2016 to May 2019, a total of 84 patients with osteoporotic vertebral compression fractures treated in our hospital were enrolled in the study, and divided into traditional treatment group and percutaneous vertebroplasty group by random number table method.Traditional non-surgical method was administered to patients in the traditional treatment group (n=42), and percutaneous vertebroplasty was performed in the percutaneous vertebroplasty group (n=42).The differences in VAS pain score, vertebral compression rate, Cobb angle of injured vertebral body, and ADL score of daily living activities between the two groups were compared.Results After treatment, the VAS pain score (1.48±0.15), vertebral compression rate (16.58±7.15), Cobb angle [(9.23±3.11)°], and ADL score (21.08±0.45) in the percutaneous vertebroplasty group were significantly lower than those in the traditional treatment group (P<0.05).Conclusion Compared with the traditional conservative method, percutaneous vertebroplasty is more effective and safer in the treatment of osteoporotic vertebral compression fractures, as it can significantly alleviate patients’pain degree and improve their daily living activities, thus it is worthy of clinical application.