作　　者： (）;

机构地区： 广东省普宁市人民医院

出　　处： 《中国伤残医学》 2018年第19期1-3,共3页

摘　　要： 目的：研究经皮椎体后凸成形术和经皮椎体成形术治疗老年女性骨质疏松伴脊柱骨折的优劣差异.方法：研究对象选取我院2015年4月～2018年4月间收治的老年女性骨质疏松伴脊柱骨折患者80例,采用随机数字法将其分为PKP组和PVP组,每组40例.每组患者均给予常规药物治疗,PVP组采用经皮椎体成形术治疗;PKP组采用经皮椎体后凸成形术治疗.比较2组患者手术前后伤椎中部高度值、Cobb＇s角度值;比较2组患者治疗有效率及骨水泥渗漏发生率.结果：手术前2组患者的伤椎中部高度值、Cobb＇s角均无明显差异（P〉0.05）;手术后PKP组伤椎中部高度值、Cobb＇s角显著高于PVP组（P〈0.05）;PKP组与PVP组治疗有效率无明显差异（P〉0.05）;PKP组骨水泥渗漏发生率为2.5％,显著低于PVP组发生率10％（P〈0.05）.结论：经皮椎体后凸成形术和经皮椎体成形术对于老年女性骨质疏松伴脊柱骨折具有相同的疗效,经皮椎体后凸成形术在恢复脊柱中部高度、Cobb＇s角以及减少骨水泥渗漏等方面效果更佳,更值得在临床上推广. Objective： To investigate the differences between the advantages and disadvantages of percutaneous kyphoplasty and percutaneous vertebroplasty in the treatment of osteoporosis with spinal fracture in elderly women. Methods： Eighty elderly patients with osteoporosis associated with spinal fracture treated in our hospital between April 2015 and April 2018 were randomly selected and divided into PKP group and PVP group with 40 cases in each group. Each group of patients was given conventional drug treatment, PVP group was treated with percutaneous vertebroplasty, and PKP group was treated with pereutaneous kyphoplasty. Comparing the two groups of patients before and after surgery, the central vertebral height and Cobb~ angle were compared; the treatment efficiency and the incidence of bone cement leakage were compared between the two groups. Results： There was no significant difference in central vertebral height and Cobb angle between the two groups before operation （P 〉 0.05）. In the postoperative PKP group, the height and Cobb＇s angle of the injured vertebra were significantly higher than those in the PVP group （ P 〈 0.05 ） ; There was no significant difference in the treatment efficiency between the group and the PVP group （ P 〉 0.05 ）. The incidence of cement leakage in the PKP group was 2.5%, which was significantly lower than that in the PVP group （ P 〈 0.05 ）. Conclusion： Percutaneous kyphoplasty and percutaneous vertebroplasty have the same effect on osteoporosis with spinal fractures in elderly women. Percutaneous kyphoplasty restores central spine height, Cobb＇s angle, and bone loss. Cement leakage and other aspects are more effective and more worthy of clinical promotion.

关 键 词： 经皮椎体后凸成形术 经皮椎体成形术 骨质疏松 脊柱骨折

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