经皮椎体成形术与经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的疗效对比研究

Research on Comparison of Curative Effect of Percutaneous Vertebroplasty and Percutaneous Kyphoplasty in Treatment of Osteoporotic Vertebral Compression Fractures

目的对比经皮椎体后凸成形术(PKP)与经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩骨折(OVCF)的临床疗效。方法整群选取2013年9月—2014年11月该院收治的OVCF患者98例,随机分为两组,观察组49例,选用PKP方法进行治疗,对照组49例,选用PVP方法进行治疗,观察并比较两组患者术后疼痛缓解程度、椎体高度恢复情况以及手术并发症发生率。结果观察组患者术后1周VAS评分为(1.64±0.06)分,患者椎体高度为(82.0±5.6)%,对照组VAS评分为(2.97±0.13)分,患者椎体高度为(70.5±3.4)%,两组患者VAS评分、患者椎体高度分别比较差异有统计学意义(P<0.05)。结论 PKP与PVP技术均为安全有效的OVCF的治疗方式,但PKP在缓解疼痛,恢复正常椎体高度方面具有更为良好的疗效。

Objective To compare the clinical curative effect of percutaneous vertebroplasty and percutaneous kyphoplasty in treatment of osteoporotic vertebral compression fractures. Methods 98 cases of patients with OVCF admitted and treated in our hospital from September 2013 to November 2014 were selected and randomly divided into two groups with 49 cases in each, the observation group were treated with PKP, the control group were treated with PVP, and the postoperative pain relief degree, recovery of vertebral height and incidence rate of operative complications of the two groups were observed and compared. Results The differences in the VAS score in postoperative 1 week and vertebral height between the observation group and the control group had statistical significance, [（1.64±0.06） marks,（82.0±5.6） % vs（2.97±0.13） marks,（70.5±3.4）%],（P〈0.05）. Conclusion Both PKP and PVP are safe and effective treatment methods of OVCF, but PKP has a better curative effect in relieving pains and recovering normal vertebral height.