首页|经皮椎体成形术用于老年骨质疏松性脊柱骨折对其脊柱功能的改善作用分析

经皮椎体成形术用于老年骨质疏松性脊柱骨折对其脊柱功能的改善作用分析

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目的 探究经皮椎体成形术治疗骨质疏松性脊柱骨折老年患者对其脊柱功能改善程度的影响.方法 回顾性选取福建省邵武市立医院于2021年12月—2023年12月收治的113例老年骨质疏松性脊柱骨折患者的临床资料,根据治疗方法的差异分成两组,接受保守治疗的57例纳入对照组,接受经皮椎体形成术治疗的56例纳入观察组.对比两组治疗前后的脊椎功能[椎体高度、Oswestry功能障碍指数问卷表(Oswestry Disabil-ity Index,ODI)评分、Prolo腰椎功能评分]及临床治疗效果.结果 观察组治疗后椎体高度、Prolo腰椎功能评分、ODI评分均优于对照组,差异有统计学意义(P均<0.05).观察组临床治疗总有效率为94.64%,高于对照组的82.46%,差异有统计学意义(χ2=4.121,P<0.05).结论 老年骨质疏松性脊柱骨折患者接受经皮椎体成形术治疗后,其脊柱功能和临床疗效均得到显著改善.
Analysis of the Improvement Effect of Percutaneous Vertebroplasty for El-derly Osteoporotic Spinal Fractures on Their Spinal Functions
Objective To investigate the effect of percutaneous vertebroplasty on the improvement of spinal function in elderly patients with osteoporotic spinal fractures.Methods The clinical data of 113 elderly osteoporotic spinal frac-ture patients admitted to Shaowu Municipal Hospital from December 2021 to December 2023 were retrospectively se-lected.They were divided into two groups according to the difference of treatment methods,57 cases receiving conser-vative treatment were included in the control group,and 56 cases receiving percutaneous vertebroplasty were included in the observation group.The spinal function[vertebral body height,Oswestry Disability Index(ODI)score,Prolo Lum-bar Spine Function score]and clinical treatment effects before and after treatment were compared between the two groups.Results Vertebral body height,Prolo Lumbar Spine Function score,and ODI score of the observation group were better than those of the control group after treatment,and the differences were statistically significant(all P<0.05).The total effective rate of clinical treatment in the observation group was 94.64%,which was higher than 82.46%in the control group,the difference was statistically significant(χ2=4.121,P<0.05).Conclusion The spinal function and clinical efficacy of elderly osteoporotic spinal fracture patients were significantly improved after receiving percutaneous vertebroplasty.

Osteoporotic spinal fracturePercutaneous vertebroplastySpinal function

李中华、苏兵、王其荣

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福建省邵武市立医院骨科,福建 邵武 354000

骨质疏松性脊柱骨折 经皮椎体成形术 脊柱功能

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(17)