骨质疏松性压缩性骨折患者PVP和PKP联合药物治疗疗效分析

Clinical comparison of osteoporotic thoracolumber compressive fractures treated with percutaneous vertebroplasty and percutaneous kyphoplasty combined with drugs

目的分析比较PVP和PKP联合罗盖全治疗老年骨质疏松性压缩性骨折(OVCF)的临床疗效及并发症情况。方法66例老年OVCF患者分为二组,其中对照组(PVP联合罗盖全)34例,实验组(PKP联合罗盖全)32例,观察比较二组在术后疼痛缓解、椎体高度恢复以及并发症方面的差异。结果 VAS评分及Cobb角,二组治疗后与治疗前比较,差别均具统计学意义(P<0.01或0.05),实验组术后Cobb角改善明显高于对照组,差别具有统计学意义(P<0.01);对照组骨水泥渗漏率44.12%,明显高于实验组的12.5%,差别有统计学意义(P<0.05),对照组1例出现继发性相邻椎体骨折,实验组2例发生继发性相邻椎体骨折。结论 PVP与PKP联合罗盖全均是较为理想的治疗老年OVCF的方法,严格掌握适应症和提高手术技巧,有助于降低手术并发症。

Objective To explore the effect and complications after operation for osteoporotic thoracolumber compressive fractures by comparison of effects between PVP and PKP combined with drugs;Methods 66 osteoporotic thoraeolumber compressive fractures patients in our department were retrospectively analyzed, who were divided into two groups, 34 were treated with PVP combined with rocaltrol（the control group） and 32 were treated with PKP combined with rocaltrol（the experimental group）. To eomparise the two groups in terms of the pain relief, the average height of the wound vertebral and complications after the operation. Results ： Significant difference was found on VAS pain score and the comparison of Cobb＇ s angle after the surgery than before （P 〈 0. 01 or O. 05 ） ; there was significantly difference in the comparison of Cobb＇ s angle between the two groups after the operation （ P 〈 0.05 ） ; The leakage of cement after the operation in the control group and experimental group was 44.12% and 12. 5% , there was significantly difference between the two groups（P 〈0.05）. Adjacent vertebral body fracture in I cases in the control group and 2 cases in the experimental group. Conclusion Both the PVP combined with f rocaltrol and PKP combined with which are relatively ideal treatment in osteoporotic thoraeolumber compressive fractures,the strict indications and excellent operation skills can reduce.