首页|早期与延迟经皮椎体成形术治疗症状性胸腰椎骨质疏松性椎体压缩性骨折效果分析

早期与延迟经皮椎体成形术治疗症状性胸腰椎骨质疏松性椎体压缩性骨折效果分析

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目的 对症状性胸腰椎骨质疏松性椎体压缩性骨折(Osteoporotic Vertebral Compression Fracture,OVCF)行早期与延迟经皮椎体成形术的效果分析.方法 选取2021年1月—2023年6月丰县人民医院收治的70例症状性胸腰椎OVCF患者,以随机数表法分为两组,采取延迟治疗的35例为对照组,采取早期治疗的35例为观察组.对比两组临床疗效、疼痛程度、并发症及椎体恢复状况.结果 观察组总有效率为94.29%,较对照组的77.14%高,差异有统计学意义(χ2=4.200,P<0.05).治疗前及治疗后第1天,两组疼痛评分比较,差异无统计学意义(P>0.05);治疗后第3天及第7天,观察组疼痛评分较对照组低,差异有统计学意义(P均<0.05).观察组并发症发生率较对照组低,差异有统计学意义(P<0.05).观察组椎体Cobb角小于对照组,后缘、中线及前缘高度均大于对照组,差异有统计学意义(P均<0.05).结论 早期对症状性胸腰椎OVCF患者实施经皮椎体成形术治疗,效果显著,可降低患者疼痛感,并发症较少,还可改善其椎体恢复状况.
Efficacy of Early and Delayed Percutaneous Vertebroplasty for Symptom-atic Thoracolumbar Osteoporotic Vertebral Compression Fractures
Objective To analyze the results of early and delayed percutaneous vertebroplasty for symptomatic thora-columbar osteoporotic vertebral compression fracture(OVCF).Methods A total of 70 patients with symptomatic thora-columbar OVCF admitted to Fengxian People's Hospital from January 2021 to June 2023 were divided into two groups by random number table method.35 patients with delayed treatment were used as control group and 35 patients with early treatment were used as observation group.The clinical efficacy,pain degree,complications and vertebral recov-ery were compared between the two groups.Results The total effective rate of the observation group was 94.29%,higher than that of the control group(77.14%),and the difference was statistically significant(χ2=4.200,P<0.05).There was no significant difference in pain scores between the two groups before treatment and the first day after treat-ment(P>0.05).On the 3rd and 7th day after treatment,the pain score of the observation group was lower than that of the control group,and the differences were statistically significant(both P<0.05).The complication rate of the observa-tion group was lower than that of the control group,and the difference was statistically significant(P<0.05).The Cobb Angle of the vertebral body of the observation group was lower than that of the control group,and the height of the pos-terior margin,midline and leading edge were higher than that of the control group,and the difference was statistically significant(all P<0.05).Conclusion Early implementation of percutaneous vertebroplasty in symptomatic thoracolum-bar OVCF patients is effective,can reduce the pain of patients,fewer complications,and can improve the recovery of the vertebral body.

VertebroplastyThoracic vertebraLumbar vertebraOsteoporosisCompression fracture

石良晨、刘新波、夏天、段纪晨

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丰县人民医院骨科,江苏丰县 221700

丰县人民医院康复科,江苏丰县 221700

徐州医科大学临床医学系,江苏徐州 221000

椎体成形术 胸椎 腰椎 骨质疏松 压缩性骨折

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(8)