椎体成形术与保守疗法治疗骨质疏松性椎体压缩骨折的对照研究

Study of clinical effect between percutaneous vertebroplasty and conservative treatment of osteoporotic vertebral compression fracture of spine

目的探讨椎体成形术(PVP)治疗骨质疏松性椎体压缩骨折(osteoporoticvertebral compressionfractures,OVCF)的临床疗效,并与保守治疗方法进行比较。方法回顾性分析2006年5月～2009年11月我院60例0VCF患者,其中PVP治疗30例,保守治疗30例,对术后2周及3月后疗效进行统计学分析。结果对于OVCF患者,2周内行PVP术疗效较优,3月以后二者之间的差异没有统计学意义。结论 PVP及保守疗法均是治疗椎体骨质疏松性压缩骨折的有效方法,而在2周以内,PVP较保守治疗能更有效地减轻疼痛。

Objective To study and compare the clinical efficacy between the percutaneous vertebroplasty （PVP） and conservative treatment in the treatment of osteoporotic vertebral compression fracture （OVCF） in spine. Methods 60 cases of OVCF were treated with PVP or conservative treatment Among them, 30 cases were performed with PVP and 30 cases were conser- vative treated. The clinical efficacy in 2 week and 3 months between the two groups were analysed. Results The efficacy of PVP was better than co,lservative treatment in 2 weeks. The equal efficacy appeared in 3 months. Conclusion PVP and conservative treatment all are effective ways in treating OVCF. PVP can release the pain more efficacy than conservative treatment in 2 weeks.