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。

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.