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骨质疏松脊柱压缩性骨折临床手术价值分析

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目的 分析骨质疏松脊柱压缩性骨折临床手术价值。方法 选择2020年1月—2022年1月本院治疗的骨质疏松脊柱压缩性骨折患者60例为研究对象,随机分为观察组和对照组,每组30例。其中观察组患者进行经皮椎体成形术(PVP)治疗,对照组进行经皮椎体后凸成形术(PKP)治疗,对比两组患者的临床手术治疗效果。结果 经过治疗后两组患者的疼痛视觉模糊评分(VAS)、功能障碍指数评分(Oswestry)、椎体高度都得到了明显改善,但观察组患者椎体高度要明显好于对照组,二者相比差异有统计学意义(P<0。05)。对照组的手术时间和骨水泥注射量要高于观察组,两组对比差异也有统计学意义(P<0。05)。观察组骨水泥渗漏要明显高于对照组,差异有统计学意义(P<0。05)。结论 观察组和对照组两种手术都能明显改善骨质疏松脊柱压缩性骨折患者的症状,减轻患者疼痛,在治疗骨质疏松脊柱压缩性骨折中都有良好的应用效果和价值。PVP与PKP两种方式各有优缺点,在选择手术方法时,需要考虑患者的年龄、骨质疏松的严重程度、骨折的严重程度以及患者的整体健康状况等因素。
Clinical Value Analysis of Osteoporotic Spinal Compression Fractures
Objective To analyze the clinical operation value of osteoporotic spinal compression fracture.Methods 60 patients with osteoporotic spinal compression fracture who were treated in our hospital from January 2020 to January 2022 were randomly divided into observation group and control group,with 30 cases in each group.The observation group was treated with percutaneous vertebroplasty(PVP),while the control group was treated with percutaneous kyphoplasty(PKP).The clinical therapeutic effects of the two groups were compared.Results After treatment,the pain visual blur score(VAS),dysfunction index score(Oswestry)and vertebral height of the two groups were significantly improved,but the vertebral height of the observation group was significantly better than that of the control group,with statistical significance(P<0.05).The operation time and bone cement injection amount of the control group were higher than those of the observation group,and the difference between the two groups was also statistically significant(P<0.05).The bone cement leakage in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Both the observation group and the control group can significantly improve the symptoms and relieve the pain of patients with osteoporotic spinal compression fractures,and have good application effect and value in the treatment of osteoporotic spinal compression fractures.

Osteoporotic spinal compression fracturePVPPVAVAS

周晓宇

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江苏宿迁市泗洪医院 骨科,江苏 宿迁 223900

骨质疏松脊柱压缩性骨折 PVP PVA VAS

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(2)
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