摘要
目的:探讨分析在骨质疏松性脊柱骨折治疗中应用椎体后凸成形术的效果.方法:选取2020年1月至2020年12月医院收治的骨质疏松性脊柱骨折患者70例,按照入院手术治疗时间的顺序分为经皮椎体成形术治疗的对照组(n=35)与椎体后凸成形术治疗的研究组(n=35),比较两组患者手术优良率,并观察记录两组围手术期的各项治疗指标,再对患者手术治疗前后的疼痛程度(VAS评分)、功能障碍(ODI评分)、椎体高度丢失率以及Cobb角的差异进行比较分析.结果:研究组患者手术优良率较对照组高(91.43％vs71.43％,P<
Abstract
Objective To analyze the effect of kyphoplasty in the treatment of osteoporotic spinal fractures.Methods: Select 70 patients of osteoporotic spinal fracture admitted to the hospital from January 2020 to December 2020, divided into the order of percutaneous control group (n=35) and the study group (n=35) in the two groups, observe and recorded the indexes of peritreatment, and analyze the pain degree (VAS score), functional impairment (ODI score), vertebral height loss rate and Cobb angle.Results: In the study group, the rate of surgery performance was better than that in the control group (91.43％vs71.43％, P<0.05); Operation time of the study group (35.52 ± 3.57) was longer than the control group, More cement injection (4.37 ± 1.15) ml than the control group, Postoperative vertebral increase height (4.29 ± 1.62) mm was higher than the control group, And the cement leakage rate of 5.71％ was lower than the control group (P <0.05), However, there was no difference between the two groups (P< 0.05); VAS score and ODI score of the study group were (1.47 ± 0.36) and (17.16 ± 1.22), It was lower than that of the control group (P <0.05); The rate of vertebral height loss and Cobb angle were (10.72 ± 1.08)％, (5.52 ± 0.58), It was also lower than the control group (P <0.05).Conclusion: The effect of kyphoplasty in the treatment of osteoporotic spinal fracture is more accurate, which has less trauma to patients and less pain, which is more conducive to the postoperative functional rehabilitation of patients, and then improves the prognosis, which is worth promoting.
万方数据