摘要
目的:分析骨质疏松性椎体压缩骨折(OVCF)患者接受经皮椎体后凸成形术(PKP)治疗对围手术期指标及安全性的影响。方法:回顾性选取2022年3月—2024年3月乐平市中医医院收治的86例OVCF患者的临床资料。根据手术方法分组,43例接受经皮椎体成形术(PVP)治疗的患者纳入PVP组,43例接受PKP治疗的患者纳入PKP组。比较两组手术相关指标、脊柱结构指标(Cobb角、椎体压缩率、伤椎前缘高度比)、VAS评分、脊柱功能[Oswestry功能障碍指数问卷表(ODI)],术后并发症、椎体再发骨折、邻椎骨折发生率。结果:PKP组手术时间长于PVP组,骨水泥用量多于PVP组,差异有统计学意义(P<0.05);两组术中出血量、住院时间比较,差异无统计学意义(P>0.05)。术后1 d,PKP组Cobb角、椎体压缩率小于PVP组,伤椎前缘高度比高于PVP组,差异有统计学意义(P<0.05)。术后7 d、术后6个月,PKP组VAS评分、ODI评分低于PVP组,差异有统计学意义(P<0.05)。PKP组与PVP组术后并发症发生率对比,差异无统计学意义(P>0.05)。两组椎体再发骨折、邻椎骨折发生率对比,差异无统计学意义(P>0.05)。结论:PKP治疗有助于恢复OVCF患者脊柱结构指标,显著改善术后脊柱活动功能。
Objective:To analyze the impact of percutaneous kyphoplasty(PKP)treatment on perioperative indicators and safety in patients with osteoporotic vertebral compression fractures(OVCF).Method:Clinical data of 86 patients with OVCF in Leping Hospital of Traditional Chinese Medicine from March 2022 to March 2024 were retrospectively selected.According to the surgical method,43 patients who received percutaneous vertebroplasty(PVP)treatment were included in the PVP group,and 43 patients who received PKP treatment were included in the PKP group.Surgical related indicators,spinal structural indicators(Cobb angle,vertebral compression rate,height ratio of the anterior edge of the injured vertebra),VAS score,spinal function[Oswestry disability index questionnaire(ODI)],postoperative complications,and recurrent vertebral fractures and objacent vertebral fractures were compared between the two groups.Result:The surgical time in the PKP group was longer than that in the PVP group,and bone cement dosage in the PKP group was more than that in the PVP group,the differences were statistically significant(P<0.05).There were no statistically significant differences in intraoperative bleeding and hospitalization time between the two groups(P>0.05).At 1 d after surgery,the Cobb angle and vertebral compression rate in the PKP group were lower than those in the PVP group,and the height ratio of the anterior edge of the injured vertebra was higher than that in the PVP group,with statistical significance(P<0.05).At 7 d and 6 months after surgery,the VAS and ODI scores in the PKP group were lower than those in the PVP group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of postoperative complications between the PKP group and the PVP group(P>0.05).There was no statistically significant difference in the incidence of recurrent vertebral fractures and objacent vertebral fractures between the two groups(P>0.05).Conclusion:PKP treatment is helpful in restoring spinal structural indicators in OVCF patients,significantly improving postoperative spinal activity function.
作者
董健
余金金
李秋甫
DONG Jian;YU Jinjin;LI Qiufu(Orthopedics Department,Leping Hospital of Traditional Chinese Medicine,Leping 333300,China;不详)
出处
《中国医学创新》
2025年第23期63-67,共5页
Medical Innovation of China
