两种方法治疗骨质疏松性脊柱压缩骨折的疗效比较

Comparison of Both methods of treatment ofosteoporo-tic vertebral compression fractures in the effects

观察保守治疗和经皮穿刺椎体成形术（percutaneous vertebroplasty,PVP）治疗骨质疏松性脊柱压缩骨折（osteoporosis vertebral compression fracture,OVCF）患者的疗效。方法：收集2013年1月-2014年12月广西中医药大学第一附属医院,经胸腰椎MRI、腰椎CTQ诊断为骨质疏松脊柱压缩性骨折的患者60例,根据随机数表方法,将所有患者随机分为2组。A组：保守治疗组30例;B组：椎体成形术治疗组30例。记录各组患者的年龄、性别、住院时间、VAS评分,并对以上观察指标进行统计学分析。结果：所有患者均成功完成手术和分组,无神经损伤、大出血及死亡病例,随访半年后,年龄、性别、术前VAS评分在A组、B组组间对比均无统计学意义（P〉0.05）;术后第1天、第3天、终末随访VAS评分,住院时间在A组与B组方面对比,提示差异有显著性（P〈0.05）。结论：保守治疗和椎体成形术在治疗骨质疏松性脊柱压缩性骨折方面,两者均能起到满意治疗效果,但椎体成形术在改善患者疼痛症状及缩短住院时间方面明显优于保守治疗,是值得推广的治疗方式。

To observe the conservative treatment and percutaneous vertebroplasty（percutaneous vertebroplasty, PVP） treatment of osteoporotic vertebral compression fractures（osteoporosis vertebral compression fracture, OVCF） patient outcomes. Methods： January 2013--2014 60 patients in December, First Affiliated Hospital of Guangxi University of Western medicine, the thoracic and lumbar MRI, and lumbar spine CTQ diagnosed as osteoporotic compression fractures, according to a random number table method, All patients were randomly divided into two groups. Group A： conservative treatment group of 30 patients; group B： vertebroplasty treatment group of 30 patients. Record each group age, gender, disease duration, VAS scores, and more outcome measures were statistically analyzed. Results： All patients were successfully completed surgery and grouping, no nerve damage, bleeding and death cases, follow-up after six months, before the age, gender, preoperative VAS score between group A and group B comparison group was not statistically significant（P 0.05）; postoperative day 1, the first three days, final follow VAS score, duration of group A and group B in terms of contrast, suggesting there was a significant difference（P 0.05）. Conclusion： conservative treatment and vertebroplasty in the treatment of osteoporotic vertebral compression fractures, both of which can play a satisfactory therapeutic effect, but vertebroplasty in improving pain symptoms and shorten the length of hospital stay was superior to conservative therapy, treatment should be promoted.