| 摘要: |
| 目的:对比手法复位结合经皮椎体成形术( PVP)与经皮椎体后凸成形术( PKP)治疗新鲜单节段骨质疏松性椎体压缩骨折( OVCF)的临床疗效。方法:回顾性收集我院收治的 63例 OVCF患者的临床资料，依采用手法复位结合 PVP方法分为观察组 32例，采用 PKP方法分为对照组 31例。记录两组手术时间、骨水泥渗漏例数、住院天数、治疗费用，以及术前术后伤椎前缘高度( AVH)、伤椎后凸 Cobb角、疼痛视觉模拟( VAS)评分、 Oswestry功能障碍指数( ODI)评分。结果:63例患者均顺利完成手术。观察组手术时间、治疗费用少于对照组，差异均有统计学意义( P<0.05)。两组骨水泥渗漏例数、住院天数比较差异均无统计学意义( P>0.05)。两组术后 AVH、Cobb角、VAS评分、 ODI评分对比术前，差异均有统计学意义(P<0.05)；但两组间上述指标比较，差异均无统计学意义( P>0.05)。结论:手法复位结合 PVP与 PKP治疗 OVCF均可获得满意的临床疗效，但手法复位结合 PVP具有手术时间短、治疗费用少的优势。 |
| 关键词: 手法复位 经皮椎体成形术 经皮椎体后凸成形术 骨质疏松性椎体压缩骨折 |
| DOI：10.3969/j.issn.1007-6948.2020.01.027 |
| 投稿时间：2019-04-22 |
| 基金项目:陕西省社会发展科技攻关项目( 2015SF115)；延安市科技惠民计划项目( 2016HM-10-03)；延安市科技攻关计划项目(2017KS-06) |
|
| Comparison on Effects of Manual Reduction Combined with PVP and PKP in the Treatment of Osteoporotic Vertebral Compression Fracture |
| CAO Qiang,ZHOU Yu-hu,DUAN Ming-ming |
| Department of Orthopedics, Af.liated Hospital of Yan’an University, Yan’an 716000, China |
| Abstract: |
| Objective To compare the clinical effects of manual reduction combined with percutaneous vertebroplasty (PVP) and percutaneous vertebral kyphoplasty (PKP) in the treatment of fresh single-segment osteoporotic vertebral compression fractures (OVCF). Methods The clinical data of 63 patients with OVCF admitted to our hospital were retrospectively collected. According to the method of manual reduction combined with PVP, the patients were divided into observation group (32 cases) and control group (31 cases) by PKP method. The operation time, number of cement leakage cases, length of hospital stay, treatment cost, preoperative and postoperative injured anterior vertebrae height (AVH), kyphosis Cobb angle, pain visual analogue scale (VAS) score and Oswestry Dysfunction Index (ODI) score were recorded. Results All 63 patients successfully completed the operation. The operation time and treatment cost of the observation group were lower than those of the control group, and the differences were statistically signi.cant (P<0.05). There were no signi.cant differences in the number of cases of cement leakage and the length of hospital stay between the two groups (P>0.05). There were significant differences in postoperative and preoperative AVH, Cobb angle, VAS scores, and ODI scores between the observation and control groups (P<0.05). There were no statistically differences in AVH, Cobb angles, VAS scores and ODI scores between the groups (P>0.05). Conclusion Manual reduction combined with PVP and PKP can achieve satisfactory clinical results in the treatment of OVCF, but manual reduction combined with PVP has the advantages of short operation time and low treatment cost. |
| Key words: Manual reduction percutaneous vertebroplasty percutaneous kyphoplasty osteoporotic vertebral compression fracture |
