摘要
目的探讨经皮椎体后凸成形术对老年多节段创伤性脊柱骨折患者肢体功能及日常生活能力的影响。方法选取2019年10月至2021年10月福建省建瓯市立医院收治的96例多节段创伤性脊柱骨折老年患者作为研究对象,按照随机数字表法将其分为传统组(48例)和研究组(48例)。传统组患者给予常规的开放式手术治疗,研究组患者给予经皮椎体后凸成形术治疗。观察比较两组患者的治疗效果,椎体高度、Cobb角角度、肢体功能、日常活动能力以及并发症发生情况。结果研究组的治疗效果优于传统组,差异有统计学意义(P<0.05)。治疗后,两组患者的椎体高度、肢体功能评分、日常活动能力均高于本组治疗前,Cobb角角度小于本组治疗前,差异有统计学意义(P<0.05);研究组治疗后的椎体高度、肢体功能评分、日常活动能力均高于传统组,Cobb角角度小于传统组,差异有统计学意义(P<0.001)。研究组的并发症总发生率为12.5%,低于传统组的29.2%,差异有统计学意义(P<0.05)。结论经皮椎体后凸成形术对于老年多节段创伤性脊柱骨折患者安全有效,可有效改善患者的椎体高度,降低Cobb角角度,恢复肢体功能及日常生活能力。
Objective To investigate the influence of percutaneous kyphoplasty on limb function and daily living ability of elderly patients with multilevel traumatic spinal fracture.Methods A total of 96 elderly patients with multilevel traumatic spinal fractures admitted to Fujian Jian'ou Municipal Hospital from October 2019 to October 2021 were selected as research objects,and they were divided into the traditional group(48 cases)and the study group(48 cases)according to random number table method.Patients in the conventional group received conventional open surgery.Patients in the study group were treated with percutaneous kyphoplasty.The therapeutic effect,vertebral height,Cobb angle,limb function and daily activity ability,as well as the incidence of complications were observed and compared between the two groups.Results The treatment effect of the study group was better than that of the traditional group,and the difference was statistically significant(P<0.05).After treatment,the vertebral height,limb function score and daily activity ability of the two groups were higher than those before treatment,and the Cobb angle of the two groups after treatment was lower than that before treatment,and the differences were statistically significant(P<0.05).After treatment,the vertebral height,limb function score and daily activity ability of the study group were higher than those of the traditional group,and the Cobb angle of the study group after treatment was lower than that of the traditional group,and the differences were statistically significant(P<0.001).The total incidence of complications in the study group was 12.5%,which was lower than 29.2%in the traditional group,and the difference was statistically significant(P<0.05).Conclusion Percutaneous kyphoplasty is safe and effective for elderly patients with multilevel traumatic spinal fractures.It can effectively improve the vertebral height of patients,reduce Cobb angle,and restore limb function and daily living ability.
作者
李敏
吴健峰
张帆
LI Min;WU Jianfeng;ZHANG Fan(Department of the Second Orthopaedics,Fujian Jian'ou Municipal Hospital,Fujian Province,Jian'ou 353100,China)
出处
《中国当代医药》
CAS
2022年第35期81-84,共4页
China Modern Medicine
