微创Sky手术与球囊成形术治疗脊柱骨质疏松压缩性骨折的效果比较

Comparative study on the effect of Sky minimally invasive surgery and balloon angioplasty in the treatment of spinal osteoporotic compression fractures

目的比较微创Sky手术与球囊成形术治疗脊柱骨质疏松压缩性骨折的效果。方法选取我院2012年4月至2013年8月61例脊柱骨质疏松压缩性骨折患者，根据随机数表分为两组，其中30例采用Sky骨扩张器手术治疗（记为Sky组），31例采用经皮球囊扩张椎体成形术治疗（记为球囊组）。结合术后随访观察两组治疗效果。结果Sky组治疗有效率相较球囊组差异无统计学意义（93．3％VS．93．5％，P〉0．05）；Sky组手术时长[（41．4±5．3）min]、术中出血量[（17．6±4．1）m1]、患者自我疼痛评分（2．9±1．1）与球囊组[（39．5±5．5）min、（19．0±4．3）ml、（3．1±1．0）]相比，差异无统计学意义（P〉0．05）；两组术后均未出现并发症。结论微创Sky手术与球囊成形术均是治疗脊柱骨质疏松压缩性骨折的有效方法，安全性好，对改善患者脊柱功能、缓解疼痛效果显著，具有临床推广价值。

Objective To compare the effect of Sky minimally invasive surgery and balloon angioplasty in the treatment of spinal osteoporotic compression fractures. Methods 61 cases of spinal osteoporotic compression fractures in our hospital from April 2012 to August 2013 were selected and divided into two groups according to the random number table, of whom 30 cases were treated with Sky bone expander surgery （Sky group）, 31 cases were treated with percutaneous balloon vertebroplasty （balloon group）. Compared the effect of two groups combined with postoperative follow-up. Results There was no statistically significant difference in treatment efficiency between Sky group and balloon group （93.3% vs.93.5%, P〉0.05）. There were no statistically significant differences in operation time, intraoperative blood loss and self-rating pain score between Sky group and balloon group [（41.4±5.3）min vs.（39.5±5.5）min, （17.6±.1）ml vs.（19.0±4.3）ml, （2.9±1.1） vs.（3.1±1.0）; P〉0.05]. There were no postoperative complications in both two groups. Conclusion Sky minimally invasive surgery and balloon angioplasty are both effective methods for the treatment of spinal osteoporotic compression fractures, which can significantly improve spinal function and relief spinal pain.