首页|PVP与PKP治疗骨质疏松性胸腰椎压缩骨折的临床疗效和安全性的对比分析研究

PVP与PKP治疗骨质疏松性胸腰椎压缩骨折的临床疗效和安全性的对比分析研究

Comparative Analysis of Clinical Efficacy and Safety Between PVP and PKP in the Treatment of Osteoporotic Thoracolumbar Vertebral Compression Fractures

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目的:探析骨质疏松性椎体压缩骨折临床中运用经皮椎体后凸成形术(PKP)和经皮椎体成形术(PVP)的疗效差异.方法:纳入2023年1月~2023年11月在本院就诊的骨质疏松性椎体压缩骨折患者120例为分析对象,以随机数字表将患者分组并设为PKP组、PVP组,各60例,对应给予PKP术式治疗、PVP术式治疗,从手术疗效、腰椎功能以及术后并发症评价两种术式的疗效差异.结果:组间在手术耗费时间、骨水泥注入量方面的数据存在明显差异,有统计学意义(P<0.05).术后两组患者疼痛评分、锥体功能评分有所下降,生活质量评分有所提升,治疗前后比较有统计学意义(P<0.05),术后组间数据比较无统计学意义(P>0.05).术后PKP组患者椎体高度高于PVP组,Cobb角低于PVP组,有统计学意义(P<0.05).在术后随访期间,组间手术相关并发症发生率比较存在显著差异,有统计学意义(P<0.05).结论:为骨质疏松性椎体压缩骨折患者应用PKP、PVP术式治疗均可改善病情,相对而言PKP术式在疗效、预后质量及安全性方面更具优势.
Objective:Exploring the difference in therapeutic effects between percutaneous kyphoplasty(PKP)and percutaneous vertebroplasty(PVP)in the clinical treatment of osteoporotic vertebral compression fractures.Methods:120 patients with osteoporotic vertebral compression fractures who visited our hospital from January 2023 to November 2023 were included as the analysis objects.The patients were randomly divided into PKP group and PVP group using a random number table,with 60 cases in each group.PKP and PVP treatments were given accordingly.The therapeutic effects of the two surgical methods were evaluated from the perspectives of surgical efficacy,lumbar spine function,and postoperative complications.Results:There were significant differences between groups in terms of surgical time and bone cement injection volume,with statistical significance(P<0.05).After surgery,the pain score and pyramidal function score of the two groups of patients decreased,and the quality of life score improved.There was statistical significance in the comparison before and after surgery(P<0.05),but there was no statistical significance in the comparison of postoperative data between groups(P>0.05).The vertebral height of the postoperative PKP group was higher than that of the PVP group,and the Cobb angle was lower than that of the PVP group,with statistical significance(P<0.05).During the postoperative follow-up period,there was a significant difference in the incidence of surgical related complications between groups,with statistical significance(P<0.05).Conclusion:The application of PKP and PVP surgical methods can improve the condition of patients with osteoporotic vertebral compression fractures,and PKP surgical methods have advantages in terms of efficacy,prognosis quality,and safety.

osteoporosis vertebral compression fracturepercutaneous kyphoplastypercutaneous vertebroplastytherapeutic effectlumbar spine functioncomplications

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乐平市人民医院(江西 景德镇 333300)

骨质疏松性椎体压缩骨折 经皮椎体后凸成形术 经皮椎体成形术 疗效 腰椎功能 并发症

景德镇市科技计划项目

20232SFZC053

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(14)
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