【摘要】：目的對(duì)比分析經(jīng)皮椎體成形術(shù)(PVP)與經(jīng)皮椎體后凸成形術(shù)(PKP)對(duì)骨質(zhì)疏松椎體壓縮性骨折患者關(guān)節(jié)疼痛及關(guān)節(jié)功能的影響。方法選擇骨質(zhì)疏松椎體壓縮性骨折患者60例,其中20例選擇PVP治療(PVP組),40例選擇PKP治療(PKP組)。兩組分別于術(shù)前及術(shù)后1周、1個(gè)月、3個(gè)月、6個(gè)月時(shí)在靜息狀態(tài)和活動(dòng)狀態(tài)下采用疼痛視覺模擬評(píng)分(VAS)評(píng)價(jià)關(guān)節(jié)疼痛程度;進(jìn)行Oswestry功能障礙指數(shù)評(píng)分,評(píng)價(jià)關(guān)節(jié)功能恢復(fù)情況。結(jié)果治療前兩組靜息及活動(dòng)狀態(tài)下VAS比較差異無統(tǒng)計(jì)學(xué)意義(P均0.05);PVP組術(shù)后1、3、6個(gè)月時(shí)靜息及活動(dòng)狀態(tài)下VAS均低于術(shù)前,PKP組術(shù)后1周、1個(gè)月、3個(gè)月、6個(gè)月時(shí)靜息及活動(dòng)狀態(tài)下VAS均低于術(shù)前,PKP組術(shù)后1周、1個(gè)月、3個(gè)月、6個(gè)月時(shí)靜息及活動(dòng)狀態(tài)下VAS均低于同時(shí)間點(diǎn)PVP組,組間及組內(nèi)比較P均0.05。兩組術(shù)前Oswestry功能障礙指數(shù)評(píng)分比較差異無統(tǒng)計(jì)學(xué)意義(P0.05);兩組術(shù)后1周、1個(gè)月、3個(gè)月、6個(gè)月對(duì)Oswestry功能障礙指數(shù)評(píng)分均低于術(shù)前,PKP組降低更顯著(P均0.05)。結(jié)論 PVP、PKP均可緩解骨質(zhì)疏松椎體壓縮性骨折患者關(guān)節(jié)疼痛、促進(jìn)關(guān)節(jié)功能恢復(fù);PKP效果更好。
[Abstract]:Objective to compare the effects of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) on joint pain and joint function in patients with osteoporotic vertebral compression fracture. Methods 60 cases of osteoporotic vertebral compression fracture were selected, 20 cases were treated with PVP (PVP group) and 40 cases were treated with PKP (PKP group). The degree of joint pain was evaluated by visual analogue score (VAS) before operation and 1 week, 1 month, 3 months and 6 months after operation. Oswestry dysfunction index score was used to evaluate the recovery of joint function. Results there was no significant difference in VAS between the two groups before treatment (P 0.05). VAS in the PVP group was significantly lower than that in the pre-operation group at 1 h, 6 months after operation and in the rest and active state at 1 week, 1 month, 3 months, 6 months after the operation in the PKP group, and 1 week, 1 month, 3 months after the operation in the PKP group, and 1 week, 1 month and 3 months after the operation in the PKP group. After 6 months of rest and activity, the VAS of PVP group was lower than that of PVP group at the same time point (P 0.05). There was no significant difference in the score of Oswestry dysfunction index between the two groups before operation (P0.05). The scores of Oswestry dysfunction index at 1 week, 1 month, 3 months and 6 months after operation in both groups were lower than those before operation, especially in PKP group (P 0.05). Conclusion PVP,PKP can relieve joint pain and promote joint function recovery in patients with osteoporotic vertebral compression fracture, and PKP is more effective.
【作者單位】： 北京市普仁醫(yī)院;海軍總醫(yī)院;
【分類號(hào)】：R580;R687.3

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