【摘要】：目的對比分析經(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個月、3個月、6個月時在靜息狀態(tài)和活動狀態(tài)下采用疼痛視覺模擬評分(VAS)評價關(guān)節(jié)疼痛程度;進(jìn)行Oswestry功能障礙指數(shù)評分,評價關(guān)節(jié)功能恢復(fù)情況。結(jié)果治療前兩組靜息及活動狀態(tài)下VAS比較差異無統(tǒng)計學(xué)意義(P均0.05);PVP組術(shù)后1、3、6個月時靜息及活動狀態(tài)下VAS均低于術(shù)前,PKP組術(shù)后1周、1個月、3個月、6個月時靜息及活動狀態(tài)下VAS均低于術(shù)前,PKP組術(shù)后1周、1個月、3個月、6個月時靜息及活動狀態(tài)下VAS均低于同時間點(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)評分比較差異無統(tǒng)計學(xué)意義(P0.05);兩組術(shù)后1周、1個月、3個月、6個月對Oswestry功能障礙指數(shù)評分均低于術(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】：R580;R687.3

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 韋正超;蔡道章;戎利民;王昆;董建文;金文濤;盧華定;;骨質(zhì)疏松性椎體壓縮骨折臨床治療分析[J];中山大學(xué)學(xué)報(醫(yī)學(xué)科學(xué)版);2003年S1期

2 鄧紅敏;;骨質(zhì)疏松椎體壓縮性骨折的微創(chuàng)治療進(jìn)展[J];中國現(xiàn)代醫(yī)藥雜志;2009年11期

3 李衛(wèi)峰;劉文革;王鋒;;經(jīng)皮球囊擴(kuò)張椎體成形術(shù)治療骨質(zhì)疏松椎體壓縮性骨折30例[J];福建醫(yī)藥雜志;2010年02期

4 胡勇;王健;;微創(chuàng)球囊擴(kuò)張椎體成形術(shù)治療骨質(zhì)疏松性椎體壓縮性骨折[J];右江醫(yī)學(xué);2009年01期

5 蔣志勇,劉鑫,王春穎;老年性骨質(zhì)疏松和椎體壓縮性骨折椎體楔形變的鑒別[J];齊齊哈爾醫(yī)學(xué)院學(xué)報;1999年03期

6 閆永起;郭從濤;劉玉成;劉敬武;劉偉;余勝全;趙國茂;唐衛(wèi)東;王萬強(qiáng);;經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體壓縮性骨折21例[J];華北國防醫(yī)藥;2009年05期

7 陳文貴;肖立軍;鄧德禮;;PKP治療骨質(zhì)疏松性多節(jié)段椎體壓縮性骨折的臨床應(yīng)用研究[J];中國骨與關(guān)節(jié)損傷雜志;2009年08期

8 王建;張年春;劉杰;田華科;陳超;;單側(cè)入路經(jīng)皮椎體后凸成形術(shù)治療重度骨質(zhì)疏松椎體壓縮性骨折[J];中國修復(fù)重建外科雜志;2009年01期

9 商敏;;DXA診斷椎體壓縮性骨折的應(yīng)用進(jìn)展[J];中國骨質(zhì)疏松雜志;2012年05期

10 袁凱;許樹柴;程志安;楊文斌;;骨質(zhì)疏松椎體壓縮性骨折的住院費(fèi)用分析[J];中國骨質(zhì)疏松雜志;2009年05期

相關(guān)會議論文 前5條

1 鄧紅敏;付義春;;骨質(zhì)疏松椎體壓縮性骨折的微創(chuàng)治療進(jìn)展[A];第三屆中西醫(yī)結(jié)合脊柱及相關(guān)疾病學(xué)術(shù)年會論文集[C];2009年

2 黃其杉;池永龍;徐華梓;林焱;毛方敏;;經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松椎體壓縮性骨折[A];第一屆長三角地區(qū)創(chuàng)傷學(xué)術(shù)會議論文匯編[C];2008年

3 黃其杉;池永龍;徐華梓;林焱;毛方敏;;經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松椎體壓縮性骨折[A];2008年浙江省骨科學(xué)學(xué)術(shù)年會論文匯編[C];2008年

4 黃其杉;池永龍;徐華梓;林焱;毛方敏;;經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松椎體壓縮性骨折[A];浙江省中西醫(yī)結(jié)合學(xué)會骨傷科專業(yè)委員會第十四次學(xué)術(shù)年會暨省級繼續(xù)教育學(xué)習(xí)班論文匯編[C];2008年

5 楊蕊敏;;≥80歲73例骨質(zhì)疏松生活質(zhì)量8年評估[A];中華醫(yī)學(xué)會第三次全國骨質(zhì)疏松和骨礦鹽疾病學(xué)術(shù)會議暨骨質(zhì)疏松診斷技術(shù)繼續(xù)教育學(xué)習(xí)班論文匯編[C];2004年

，

本文編號：2394727