首页|脊柱微创手术治疗骨质疏松性椎体骨折患者的临床价值分析

脊柱微创手术治疗骨质疏松性椎体骨折患者的临床价值分析

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目的 研讨脊柱微创手术治疗骨质疏松性椎体骨折(osteoporotic vertebral fractures,OVF)患者的临床价值.方法 随机选取2022年10月—2023年10月莆田滨海医院收治的60例OVF患者为研究对象,根据治疗方式的不同分为对照组和观察组,各30例.对照组予以传统石膏外固定/牵引复位术式处理,观察组予以脊柱微创术式治疗,对比两组患者手术疗效、不同治疗阶段的椎体前缘高度、腰椎功能以及并发症发生状况.结果 观察组手术总有效率为96.67%(29/30),高于对照组的73.33%(22/30),差异有统计学意义(χ2=4.705,P=0.030).术后,观察组椎体前缘高度高于对照组,观察组Oswestry功能障碍指数水平低于对照组,差异有统计学意义(P均<0.05).观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论 脊柱微创手术用于OVF患者的治疗效果确切,可更有效提高椎体前缘高度,加快腰椎功能恢复,并控制并发症发生.
Clinical Value of Minimally Invasive Spinal Surgery in the Treatment of Osteoporotic Vertebral Fractures
Objective To investigate the clinical value of minimally invasive spinal surgery in the treatment of osteopo-rotic vertebral fractures(OVF).Methods Sixty patients diagnosed with OVF admitted to Binhai Hospital of Putian from October 2022 to October 2023 were randomly selected as the study objects and divided into control group and ob-servation group according to different treatment methods,with 30 cases in each group.The control group was treated with traditional plaster external fixation/traction reduction,and the observation group was treated with minimally inva-sive spinal surgery.The surgical efficacy,vertebral anterior margin height,lumbar function and complications in differ-ent treatment stages were compared between patients in two groups.Results The total effective rate of the observation group was 96.67%(29/30),which was higher than that of the control group 73.33%(22/30),the difference was statisti-cally significant(χ2=4.705,P=0.030).After surgery,the vertebral anterior margin height of the observation group was higher than that of the control group,and the Oswestry Disability Index of the observation group was lower than that of the control group,the differences were statistically significant(both P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The minimally invasive spinal surgery for OVF patients has a definite therapeutic effect,which can more effectively improve the anterior vertebral height,accelerate lumbar functional recovery,and control the occurrence of complications.

Osteoporotic vertebral fracturesMinimally invasive spine surgeryLumbar functionComplication

林玉宇、林建凯、吴怡雄

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莆田滨海医院骨科,福建 莆田 351254

骨质疏松性椎体骨折 脊柱微创手术 腰椎功能 并发症

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(22)