经皮椎体成形术治疗老年骨质疏松脊柱压缩骨折临床探讨

Investigate on the treatment of percutaneous vertebroplasty for osteoporotic spinal compression fracture

目的 探讨老年骨质疏松脊柱压缩骨折采用经皮椎体成形术治疗的临床效果.方法 选取漯河市中医院2013年5月至2014年5月收治的50例老年骨质疏松压缩骨折患者作研究对象,采用经皮椎体成形术治疗,回顾治疗前后临床资料.结果 术前、术后Cobb角、椎体中部高度和前缘高度丢失率比较,差异未见统计学意义（P＞0.05）.术后疼痛程度评分明显低于术前,日常生活活动能力评分明显高于术前,差异均有统计学意义（P＜0.05）.结论 老年骨质疏松脊柱压缩骨折采用经皮椎体成形术治疗,可促进临床症状改善,使患者日常生活活动能力提高,近期治疗效果较为理想,但在后凸畸形矫正、压缩椎体高度恢复方面,还有一定的研究空间,以最大程度地改善预后,保障患者生存质量.

Objective To investigate the clinical effect of percutaneous vertebroplasty on osteoporotic vertebral compression fractures.Methods Fifty cases of patients with osteoporotic compression fractures who were treated with percutaneous vertebroplasty in traditional Chinese medicine hospital of Luohe from May 2013 to May 2014 were selected as research subjects,and their clinical data before and after treatment were reviewed.Results Preoperative and postoperative Cobb angle,anterior height of the vertebral body height and central loss rate had no significant difference （P 〉 0.05）.Postoperative pain scores were significantly lower than the preoperative ADL score,they were significantly higher than before surgery （P 〈 0.05）.Conclusions Vertebral compression fractures treated by percutaneous vertebroplasty treatment can promote improvement of clinical symptoms and improve patients＇ activities of daily living;the short term treatment effect is ideal,but in terms of kyphosis correction and compression vertebral height restoration,there are certain research space to the greatest degree of improvement in the prognosis for protecting the quality of life of patients.