摘要
目的 探讨骨质疏松性脊柱压缩骨折患者采用经皮椎体后凸成形术(PKP)治疗的临床效果。方法 选择2023年7月至2024年5月医院收治的骨质疏松性脊柱压缩骨折患者54例,采用随机数表方式分组。对照组(n=27)予经皮椎体成形术(PVP)治疗,观察组(n=27)予PKP治疗。比较两组手术效果。结果 观察组手术时间(38.53±4.69)min、透视次数(18.27±2.88)次、骨水泥注入量(5.22±0.67)ml均多于对照组,但住院时间(4.06±1.03)d短于对照组,P<0.05。术后,观察组椎体前缘、后缘高度均大于对照组,P<0.05。观察组术后的VAS评分(2.55±0.87)分、ODI评分(23.74±2.84)分均低于对照组,P<0.05。观察组骨水泥渗漏率为3.70%(1/27),低于对照组的25.93%(7/27),P<0.05。结论 PKP治疗骨质疏松性脊柱压缩骨折患者的手术时间较PVP较长,操作较复杂,但患者在术后疼痛、腰椎功能改善、骨水泥渗漏风险等方面均具有明显优势。
Objective:To evaluate the clinical efficacy of percutaneous kyphoplasty(PKP)in treating osteoporotic vertebral compression fractures(OVCF).Methods:A total of 54 OVCF patients admitted to the hospital from July 2023 to May 2024 were enrolled and randomly divided into two groups using a random number table.The control group(n=27)underwent percutaneous vertebroplasty(PVP),while the observation group(n=27)received PKP.Surgical outcomes、including operative parameters、radiographic improvements,and complications were compared.Results:In the observation group,the operation time was(38.53±4.69)min,the times of fluoroscopy were(18.27±2.88)times,and the amount of bone cement injected was(5.22±0.67)ml,but the hospital stay was(4.06±1.03)d shorter than that in the control group,P<0.05.After operation,the heights of the anterior and posterior edges of the vertebral body in the observation group were higher than those in the control group,P<0.05.The VAS score(2.55±0.87)and ODI score(23.74±2.84)in the observation group after operation were lower than those in the control group,P<0.05.The leakage rate of bone cement in the observation group was 3.70%(1/27),which was lower than that in the control group 25.93%(7/27),P<0.05.Conclusion:Although PKP requires longer operative time and is technically more demanding than PVP,it provides significant advantages in pain relief,functional recovery,and reduced complication rates(e.g.,cement leakage)for OVCF patients.
作者
王文强
沈祥
孙印明
李成存
Wang Wenqiang;Shen Xiang;Sun Yinming;Li Chengcun(Department of Orthopedics,Yangzhou Hongquan Hospital,Jiangdu Jiangsu 225200,China)
出处
《生命科学仪器》
2025年第1期130-132,共3页
Life Science Instruments
