经皮椎体强化成形术治疗胸椎压缩性骨折的疗效观察

CURATIVE EFFECT OF PERCUTANEOUS VERTEBRAL STRENGTHENING ERATOP K ASTY IN THE TREATMEMT OF THORACIC SPINAL COMPRESSION FRACTURE

目的:探讨经皮椎体强化成型术治疗胸椎压缩性骨折的疗效。方法:随机选取经皮椎体强化成型术治疗的59例胸椎压缩性骨折患者(观察组)与给予保守治疗的56例胸椎压缩性骨折患者(对照组),比较两组患者治疗疗效与并发症之间的差异。结果:观察组患者手术过程顺利,术中平均出血量为(4.87±1.36)mL,骨水泥外溢率低达5.95%,无骨水泥松动、椎体再压缩现象,观察组治疗有效率为96.61%显著高于对照组(78.57%)(P<0.05);观察组患者在无疼痛、轻度疼痛、中度疼痛、重度疼痛所占比率分别为74.58%、25.42%、0%、0%,与对照组比较差异具有统计学意义(均P<0.05);观察组患者术后VAS评分、O’Brien活动能力评分、止痛药使用评分均显著低于术前观察组;且显著低于治疗后对照组(均P<0.05);两组患者术后无神经症状加重或其他神经症状、肺栓塞、气胸、再次骨折与感染的出现。结论:经皮椎体强化成形术治疗胸椎压缩性骨折的疗效佳,可迅速缓解疼痛,创伤小,并发症低,是一种有效安全的治疗方法。

Objective：To study curative effect observation of Percutaneous vertebral strengthening keratoplasty in the treatment of thoracic spinal compression fractures.Methods：59 patients with thoracic compression fractures treated by percutaneous vertebral strengthening molding （ observation group ） and 56 patients with thoracic compression fractures given the conservative treatment （ control group） were randomly selected , the differences between the treatment efficacy and complications were compared.Results：Patients of the observation group operation smoothly , average intraoperative blood loss for ml （4.87 ±1.36）mL, bone cement spillover rate is low of 5.95%, no loosening , vertebral compression , effective rate of observation group is 96.61%, significantly higher than the control group （78.57%） （P 〈0.05）;patients of observation group in the absence of pain , mild pain, mild pain, severe pain proportion re-spectively are 74.58%, 25.42%, 0% and 0%, with differences statistically significance compared with the control group （ P 〈0.05）;patients of observation group with postoperative VAS score , O ＇brien activity ability score , pain scores are significantly lower than group before operation;and significantly lower than control group （ all P 〈0.05 ）; all patients havn ’ t postoperative neurologic symptoms aggravate or other neurological symptoms , pulmonary embolism , pneumothorax , fracture and infection again.Conclusion：Curative effect of percutaneous vertebral strengthening for treatment of thoracic spinal compression fractures is well ,it can rapidly relieve pain, has small trauma and low complication , it’ s safe and effective treatment method.