张慰. 经皮椎体成形术和经皮椎体后凸成形术治疗老年人骨质疏松性胸腰椎压缩骨折的效果观察[J]. 蚌埠医学院学报, 2013, 37(8): 990-991,994.
    引用本文: 张慰. 经皮椎体成形术和经皮椎体后凸成形术治疗老年人骨质疏松性胸腰椎压缩骨折的效果观察[J]. 蚌埠医学院学报, 2013, 37(8): 990-991,994.
    ZHANG Wei. Percutaneous vertebroplasty and percutaneous kyphoplasty treatment with osteoporotic vertebral compression fractures[J]. Journal of Bengbu Medical College, 2013, 37(8): 990-991,994.
    Citation: ZHANG Wei. Percutaneous vertebroplasty and percutaneous kyphoplasty treatment with osteoporotic vertebral compression fractures[J]. Journal of Bengbu Medical College, 2013, 37(8): 990-991,994.

    经皮椎体成形术和经皮椎体后凸成形术治疗老年人骨质疏松性胸腰椎压缩骨折的效果观察

    Percutaneous vertebroplasty and percutaneous kyphoplasty treatment with osteoporotic vertebral compression fractures

    • 摘要: 目的:比较经皮椎体成形术(PVP)及经皮椎体后凸成形术(PKP)治疗老年人骨质疏松性椎体压缩性骨折的效果。方法:对35例应用PVP和12例应用PKP的骨质疏松性胸腰椎压缩骨折,比较2组在VAS评分、SF-36评分、椎体高度、后凸矫正率Cobbs角的差异。结果:2组患者术后VAS及SF-36评分均较术前明显改善(P0. 01),但2组手术前后变化差异无统计学意义(0. 05)。PKP组患者椎体高度恢复明显优于PVP组(P0. 01),PKP组与PVP组后凸矫正Cobbs角差异无统计学意义(0. 05)。结论:PVP和PKP治疗老年人骨质疏松性胸腰椎压缩骨折各有利弊,可根据患者的实际情况综合考虑究竟是使用PKP还是PVP。

       

      Abstract: Objective: To observe the effect of the percutaneous vertebroplasty ( PVP) and percutaneous kyphoplasty ( PKP) for osteoporotic vertebral compression fractures in patients. Methods: Thirty-five patients were treated with PVP and 12 patients were treated with PKP. AS scores,SF-36 score,vertebral body height,kyphosis correction rate ofCobb' s angle were compared in the two groups. Results: VAS and SF-36 scores were improved significantly in both two groups ( P < 0. 01) . But there was no statistically significant difference before and after the surgery in the two groups( P > 0. 05) . Vertebral body height restoration in PKP group was obviously better than that in PVP group( P < 0. 01) , and in kyphosis correction rate Cobb's angle, the two groups were no significant difference( P > 0. 05) . Conclusions: PVP and PKP both have advantages and disadvantages, so according to the actual situation of the patients and then consider use PKP or PVP.

       

    /

    返回文章
    返回