發(fā)布時(shí)間：2018-10-26 18:26

【摘要】：目的探討經(jīng)皮穿刺椎體后突成形術(shù)(PKP)是否可以緩解脊柱壓縮骨折患者腰背部疼痛。方法選擇骨質(zhì)疏松性脊柱壓縮骨折患者68例為研究對象,依據(jù)患者的治療意愿分為PKP組22例和保守組46例。PKP組入院后給予PKP治療,保守組入院后嚴(yán)格臥床,兩組患者均給予正規(guī)抗骨質(zhì)疏松治療。記錄2組患者治療前、治療后1、4、12、24和48 w疼痛評分。結(jié)果兩組共66例患者完成48 w的隨訪,患者總疼痛緩解程度在第4周后PKP組明顯好于保守組(P0.05);夜間休息疼痛緩解程度在第12周后PKP組明顯好于保守組(P0.05)。結(jié)論 PKP可顯著緩解骨質(zhì)疏松性脊柱壓縮性骨折患者的總疼痛和夜間休息痛。
[Abstract]:Objective to investigate whether percutaneous vertebroplasty (PKP) can relieve lumbar and back pain in patients with spinal compression fracture. Methods Sixty-eight patients with osteoporotic spinal compression fracture were divided into PKP group (n = 22) and conservative group (n = 46) according to their intention of treatment. PKP group was treated with PKP after admission, and conservative group was strictly bedridden after admission. Both groups were given regular anti-osteoporosis treatment. Pain scores at 24 and 48 weeks before and after treatment were recorded. Results 66 patients in both groups were followed up for 48 weeks. The degree of total pain relief in the PKP group was significantly better than that in the conservative group after the 4th week (P0.05), and the degree of pain relief in the PKP group was significantly better than that in the conservative group after the 12th week (P0.05). Conclusion PKP can significantly relieve the total pain and nocturnal rest pain in patients with osteoporotic spinal compression fracture.
【作者單位】： 杭州師范大學(xué)附屬醫(yī)院骨科;浙江省中醫(yī)院骨科;
【基金】：浙江省自然科學(xué)基金項(xiàng)目(No.Y20110746)
【分類號(hào)】：R687.3

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