加减左归丸配合双侧球囊扩张椎体成形术治疗骨质疏松性椎体压缩骨折临床研究

Clinical study on the treatment of osteoporotic vertebral compression fractures with modifi d Zuogui pill combine bilateral balloon angioplasty

目的:探讨加减左归丸配合双侧球囊扩张椎体成形术对骨质疏松性椎体压缩性骨折治疗作用。方法:将60例骨质疏松性椎体压缩性骨折患者,随机分为2组,分别为治疗组和对照组,其中对照组单纯采用经皮双侧球囊扩张椎体成形术,治疗组采用加减左归丸口服配合经皮双侧球囊扩张椎体成形术,2组术后3d、2个月分别行VAS评分和疗效评价,比较治疗效果。结果:2组在术后3d,VAS评分基本相同,而2个月后,治疗组低于对照组(P<0.05);2个月后在临床疗效上,治疗组治愈率及总有效率均优于对照组(P<0.05)。结论:采用加减左归丸配合双侧球囊扩张椎体成形术治疗骨质疏松性椎体压缩性骨折,优于单纯采用经皮双侧球囊扩张椎体成形术。

Objective： To investigate the treatment effect of modified left side bolus with bilateral balloon angioplasty for osteoporotic vertebral compression fractures. Methods： will 60 cases of osteoporotic vertebral compression fracture patients,were randomly assigned to two groups, respectively for treatment group and control group, which in control group treated with double bilateral balloon dilatation, treatment group with modified Zuogui pill combined with double bilateral balloon dilatation, 2 groups of postoperative 3 days and 2 months respectively, VAS score and efficacy evaluation, the curative effects were compared. Results： two groups in postoperative 3D, VAS score is basically the same, and after 2 months. The treatment group was lower than that of the control group（P〈0.05）; after 2 months in clinical curative effect, the treatment group cure rate and total effective rate were better than those of the control group（P〈0.05）. Conclusion： the modified left and left bolus combined with bilateral balloon angioplasty for treatment of osteoporotic vertebral compression fractures is better than that of percutaneous bilateral balloon angioplasty.