摘要
目的探索由于骨质疏松性而导致椎体压缩骨折的患者分别接受经皮椎体成形术(PVP)和经皮椎体后凸成形术(PKP)治疗的临床效果比较。方法选择2022年5月至2023年5月宁夏固原市西吉县中医医院骨科收治的骨质疏松性椎体压缩骨折患者136例。按照手术方式分为两组,对照组(68例)接受PVP治疗,观察组(68例)接受PKP治疗。对比分析两组临床疗效、临床指标、骨密度及脊椎情况。结果两组治疗总有效率对比,P>0.05。观察组手术时间、骨水泥注入量、住院时间及总透视次数均较对照组少,P<0.05。治疗前,两组股骨头、下腰椎骨密度对比,P>0.05;治疗后,观察组股骨头、下腰椎骨密度均大于对照组,P<0.05。治疗前,两组脊椎情况比较无差异,P>0.05;治疗后,观察组伤椎前缘高度(24.89±1.13)mm、椎间隙(1.66±0.26)mm、伤椎中部高度(21.13±1.23)mm均高于对照组的伤椎前缘高度(21.05±1.22)mm、椎间隙(1.26±1.01)mm、伤椎中部高度(19.22±1.15)mm,P<0.05。结论PVP与PKP治疗的所取得的临床疗效相似,但PKP在优化临床指标、改善患者骨密度和脊椎情况方面更具优势。
Objective:To explore the comparison of the clinical effects of PVP and PKP treatment in patients with vertebral compression fractures due to osteoporosis.Methods:From May 2022 to May 2023136 patients with osteoporotic vertebral compression fractures were selected Xiji County Hospital of Traditional Chinese Medicine Guyuan City Ningxia.According to the operation method,they were divided into two groups,the control group(68 cases)received PVP treatment,and the observation group(68 cases)received PKP treatment.The clinical efficacy、clinical indexes、bone mineral density and spinal condition of the two groups were compared and analyzed.Results:Compared with the total effective rate of the two groups,P>0.05.The operation time、bone cement injection、hospitalization time and total fluoroscopy times in the observation group were less,P<0.05.Before treatment,the bone mineral density of femoral head and lower lumbar spine of the two groups was compared,P>0.05;After treatment,the bone mineral density of femoral head and lower lumbar spine in the observation group was higher,P<0.05.Before treatment,the fractures and injuries of the two are similar,P>0.05;After treatment,in the observation group,the data of the anterior edge was(24.89±1.13)mm,the intervertebral space was(1.66±0.26)mm,and the height of the middle of the injured vertebra(21.13±1.23)mm were higher than(21.05±1.22)mm,intervertebral space(1.26±1.01)mm,and the height of the middle of the injured vertebra(19.22±1.15)mm in the control group,P<0.05.Conclusion:The clinical efficacy achieved with PVP and PKP is similar,but PKP has more advantages in optimizing clinical indexes and improving patients'bone mineral density and spinal condition.
作者
安志辉
An Zhihui(Xiji Hospital of Traditional Chinese Medicine,Guyuan Ningxia 756299,China)
出处
《生命科学仪器》
2024年第6期184-186,共3页
Life Science Instruments
