本文選題：PVP與PKP + 骨質(zhì)疏松性壓縮性骨折�。� 參考：《河北醫(yī)科大學》2015年碩士論文

【摘要】：目的:通過患者術(shù)前與術(shù)后第一天疼痛程度的評分,觀察PVP與PKP治療老年骨質(zhì)疏松性壓縮性骨折早期緩解疼痛的效果對比方法:選擇我院2012年9月至2013年12月在我院骨科住院的患者。1、年齡大于55歲2、單純由骨質(zhì)疏松癥引起的胸腰椎脆性壓縮性骨折3、除外脊椎血管瘤、骨髓瘤、溶骨性轉(zhuǎn)移瘤引起的病理性骨折、除外嚴重創(chuàng)傷引起的胸腰椎暴力骨折。4、行PVP或PKP手術(shù)治療的患者。記錄每位患者的基本情況包括:性別、年齡、體重、既往病史、有無外傷病史。入院后對患者疼痛程度采用數(shù)字分級法(NRS)進行評分,PVP或PKP手術(shù)治療后再次采用數(shù)字分級法(NRS)進行評分。共有患者56例,59椎體個,年齡58~88歲(平均69.5歲),行PvP組35例,男性13例,女22例;行pkp組21例男性5例;胸椎25個、腰椎34個,4例為陳舊性骨折。將56例患者分成兩組:PVP組和PKP組,其中PVP組患者共35例,隨機抽取21例。對PVP與PKP治療老年骨質(zhì)疏松性壓縮性骨折早期緩解疼痛的效果進行對比。應用SPSS15.0軟件對資料進行分析,計量資料采用t檢驗,檢驗水準為0.05,確定p值。同時統(tǒng)計骨水泥滲漏的百分比,分析骨水泥滲漏對患者術(shù)后疼痛的影響。結(jié)果:1 PVP與PKP治療老年骨質(zhì)疏松性壓縮性骨折早期緩解疼痛的效果對比,根據(jù)術(shù)后第一天患者疼痛緩解程度的數(shù)字分級法,兩種手術(shù)方式對比術(shù)后第一天對疼痛的緩解程度比較沒有統(tǒng)計學意義(P0.05)。PVP與PKP兩種手術(shù)方式,均能有效緩解患者早期疼痛2骨水泥滲漏不是患者術(shù)后早期疼痛的主要原因。結(jié)論:PVP與PKP治療老年骨質(zhì)疏松性壓縮性骨折早期緩解疼痛的效果相當。
[Abstract]:Objective: to evaluate the severity of pain before and after operation. To observe the effect of PVP and PKP in the treatment of senile osteoporotic Compression fracture in the early stage of pain Relief methods: select the patients in our hospital from September 2012 to December 2013, who were hospitalized in our orthopedic department, aged more than 55 years, 2 years old, only by bone thinning. Thoracolumbar brittle compression fractures caused by pine syndrome, except for spinal hemangiomas, Myeloma, osteolytic metastases caused by pathological fractures, except severe trauma caused by thoracolumbar violence fracture. 4 patients undergoing PVP or PKP surgery. Basic records of each patient include gender, age, weight, past medical history, and any history of trauma. After admission, the patients' pain degree was evaluated by digital grading method (NRS). A total of 56 patients with 59 vertebrae, aged 58 to 88 years (mean 69.5 years old), were treated with PvP in 35 patients (13 males and 22 females), 21 patients in pkp group (5 males), 25 thoracic vertebrae (25 patients) and 34 lumbar vertebrae (4 old fractures). 56 patients were divided into two groups: one group was divided into two groups: PVP group (n = 35) and PKP group (n = 21). To compare the effect of PVP and PKP in the treatment of senile osteoporotic compression fracture. SPSS15.0 software was used to analyze the data. T test was used to measure the data. The test level was 0.05 and the value of p was determined. At the same time, the percentage of bone cement leakage was counted and the effect of bone cement leakage on postoperative pain was analyzed. Results the effect of PVP and PKP on early pain relief of senile osteoporosis compression fracture was compared. According to the digital classification of pain relief degree of patients on the first day after operation, There was no significant difference in the degree of pain relief between the two surgical methods on the first day after operation. There were no significant differences between two kinds of surgical methods: P0.05, PVP and PKP, both of which could effectively relieve the early pain of patients. 2 bone cement leakage was not the main cause of early postoperative pain. Conclusion the effect of PKP on pain relief in elderly patients with osteoporosis compression fracture is similar.
【學位授予單位】：河北醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R687.3

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