首页|改良新医正骨疗法配合PVP治疗骨质疏松性胸腰椎骨折的临床疗效分析

改良新医正骨疗法配合PVP治疗骨质疏松性胸腰椎骨折的临床疗效分析

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目的 探讨改良新医正骨疗法配合椎体成形术(percutaneous vertebroplasty,PVP)与经皮穿刺椎体后凸成形术(percutaneous kyphoplasty,PKP)在骨质疏松性胸腰椎骨折(osteoporotic vertebral compression fractures,OVCF)患者中的应用优势.方法 回顾性选取2019年9月—2022年9月菏泽市中医医院收治的88例OVCF患者的临床资料,依据患者接受的不同治疗方式进行分组,即改良新医正骨疗法结合PVP治疗为观察组(n=62)、单纯进行PKP治疗为对照组(n=26).对比两组椎体高度、胸腰椎Cobb角度、骨水泥注入量、手术时间、住院天数、并发症发生率.结果 治疗后,观察组手术操作时间为(39.50±3.03)min,短于对照组的(42.32±5.01)min,差异有统计学意义(t=2.098,P=0.039).两组椎体高度、胸腰椎Cobb角、骨水泥注入量、住院天数、并发症发生率比较,差异均无统计学意义(P均>0.05).结论 联合改良新医正骨疗法、PVP治疗可达到与PKP疗法相近的临床疗效及预后安全性,但联合疗法手术时间更短.
Analysis of the Clinical Efficacy of Modified New Medical Bone-setting Therapy Combined with PVP in the Treatment of Osteoporotic Thoraco-lumbar Fractures
Objective To investigate the application advantages of modified new medicine bone-setting therapy com-bined with percutaneous vertebroplasty(PVP)and percutaneous kyphoplasty(PKP)in patients with osteoporotic verte-bral compression fracture(OVCF).Methods The clinical data of 88 patients with OVCF admitted to Heze Hospital of Traditional Chinese Medicine from September 2019 to September 2022 were retrospectively selected.According to the different treatment methods received by the patients,the observation group(n=62)was treated with modified new medical bone-setting therapy combined with PVP,and the control group(n=26)was treated with PKP alone.The ver-tebral height,thoracolumbar Cobb angle,bone cement injection volume,operation time,hospitalization days and com-plication rate were compared between the two groups.Results After treatment,the operation time of the observation group(39.50±3.03)min was shorter than that of the control group(42.32±5.01)min,and the difference was statisti-cally significant(t=2.098,P=0.039).There was no significant difference in vertebral height,thoracolumbar Cobb angle,bone cement injection volume,hospitalization days and complication rate between the two groups(all P>0.05).Conclusion The combination of improved new medicine bone-setting therapy and PVP can achieve similar clinical ef-ficacy and prognostic safety as PKP therapy,but the orthopedic time of the combined therapy is shorter.

Percutaneous vertebroplastyPercutaneous kyphoplastyOsteoporosisFractureThoracolumbar spineVertebral body height

张秀杰

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菏泽市中医医院骨伤二科,山东 菏泽 274000

椎体成形术 经皮穿刺椎体后凸成形术 骨质疏松 骨折 胸腰椎 椎体高度

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(34)