【摘要】：[目的]探討高黏度骨水泥經(jīng)皮椎體成形術(shù)與經(jīng)皮椎體后凸成形術(shù)兩種療法治療老年骨質(zhì)疏松性椎體壓縮骨折的療效。[方法]將63例老年骨質(zhì)疏松性單一椎體壓縮骨折患者隨機(jī)分為兩組,分別采用PKP和高黏度骨水泥經(jīng)皮椎體成形術(shù)治療,記錄兩組患者術(shù)前術(shù)后VAS評(píng)分、椎體高度以及兩種手術(shù)方式的骨水泥注入量、手術(shù)出血量、手術(shù)時(shí)間和骨水泥滲漏發(fā)生率,對(duì)所得結(jié)果進(jìn)行統(tǒng)計(jì)學(xué)分析。[結(jié)果](1)兩組患者手術(shù)前后VAS評(píng)分改善值、平均骨水泥注入量、骨水泥滲漏發(fā)生率比較差異沒(méi)有統(tǒng)計(jì)學(xué)意義(P0.05);(2)高黏度骨水泥經(jīng)皮椎體成形術(shù)組的手術(shù)出血量、手術(shù)時(shí)間少于PKP組且有統(tǒng)計(jì)學(xué)意義(P0.05);(3)PKP組術(shù)后椎體高度恢復(fù)優(yōu)于高黏度骨水泥經(jīng)皮椎體成形術(shù)組且有統(tǒng)計(jì)學(xué)意義(P0.05);(4)術(shù)后影像學(xué)資料比較,PKP組患者骨水泥分布集中,密度較高;高黏度骨水泥組患者骨水泥呈彌散狀分布,密度相對(duì)較低。[結(jié)論]高黏度骨水泥經(jīng)皮椎體成形術(shù)與PKP治療老年性椎體壓縮骨折均能有效緩解疼痛且效果相當(dāng),兩者滲漏率無(wú)明顯差別;PKP在椎體高度恢復(fù)方面具有優(yōu)勢(shì),而高黏度骨水泥經(jīng)皮椎體成形術(shù)的手術(shù)時(shí)間較短,出血量較少。
[Abstract]:[objective] to evaluate the efficacy of percutaneous vertebroplasty with high viscosity cement and percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fractures in elderly patients. [methods] Sixty-three elderly patients with osteoporotic single vertebral compression fracture were randomly divided into two groups. PKP and high viscosity bone cement percutaneous vertebroplasty were used respectively. The VAS scores of the two groups were recorded before and after operation. The height of vertebral body, the amount of bone cement injected, the amount of blood lost, the time of operation and the incidence of cement leakage were analyzed statistically. [results] (1) there was no significant difference between the two groups in the improvement of VAS score, the average amount of bone cement injection and the incidence of bone cement leakage before and after operation (P0.05). (2) the amount of blood loss in the high viscosity bone cement percutaneous vertebroplasty group was less than that in the PKP group (P0.05); (3) the recovery of vertebral body height in PKP group was better than that in high viscosity bone cement percutaneous vertebroplasty group (P0.05); (4). The density of bone cement in PKP group was higher than that in PKP group. The density of bone cement in high viscosity bone cement group was lower than that in high viscosity bone cement group. [conclusion] Percutaneous vertebroplasty with high viscosity cement and PKP in the treatment of senile vertebral compression fractures can effectively relieve pain and have the same effect, but there is no significant difference in leakage rate between them. PKP has advantages in the recovery of vertebral body height, but the operation time of high viscosity bone cement percutaneous vertebroplasty is shorter and the amount of bleeding is less.
【作者單位】： 河南省洛陽(yáng)正骨醫(yī)院河南省骨科醫(yī)院脊柱外二科;
【分類號(hào)】：R687.3

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