经皮椎体成形术和保守疗法治疗老年骨质疏松性胸腰椎压缩性骨折的效果对比

Effect of Contrast of Percutaneous Vertebroplasty and Conservative Treatment for Osteoporotic Vertebral Compression Fractures

目的:对比经皮椎体成形术和保守疗法治疗老年骨质疏松性胸腰椎压缩性骨折的效果。方法:选择2012年1月-2014年9月于本院接受治疗的92例老年骨质疏松性胸腰椎压缩性骨折患者作为研究对象,根据治疗方案不同分为研究组和对照组两组,对照组患者采用保守疗法进行治疗,研究组患者采用经皮椎体成形术进行治疗。观察治疗前后两组患者VAS评分情况,并比较治疗前后两组患者椎体前后缘高度、Cobb角及临床疗效。结果:治疗前及治疗后1、2个月,两组患者VAS评分均基本相符,差异均无统计学意义(P>0.05);治疗后1周,研究组患者VAS评分显著低于对照组,差异有统计学意义(P<0.05);治疗前,两组患者椎体前后缘高度均基本相符,差异均无统计学意义(P>0.05);治疗后,研究组患者椎体前缘高度显著优于对照组,差异有统计学意义(P<0.05),两组患者的椎体后缘高度基本相符,差异无统计学意义(P>0.05);治疗前,两组患者Cobb角基本相符,差异无统计学意义(P>0.05);治疗后,研究组患者Cobb角显著低于对照组,差异有统计学意义(P<0.05);研究组患者临床总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论:经皮椎体成形术治疗老年骨质疏松性胸腰椎压缩性骨折的效果显著,预后效果良好,安全可靠,适合临床长期推广应用。

Objective： To compare the effects of percutaneous vertebroplasty and conservative treatment for osteoporotic vertebral compression fractures.Method： A total of 86 cases of elderly patients with compression fractures of osteoporotic thoracolumbar from January 2012 to September 2014 in our hospital were selected, according to the treatment plan they were randomly divided into the study group and the control group.The control group was treated with conservative therapy, the study group was treated with percutaneous vertebroplasty.Compared and observed before and after treatment around the edge of vertebral height, Cobb angle and clinical efficacy, VAS score of two groups.Result： Before and after treatment 1, 2 months two groups with VAS scores were basically consistent, the differences were not statistically significant （ P〉0.05 ） .After 1 week treatment, the study group of patients with VAS scores was significantly lower than that of the control group, the difference was statistically significant （ P〈0.05 ） . Before treatment, vertebral height around the edge of two groups were basically consistent, the differences were not statistically significant （ P〉0.05 ） .After treatment, vertebral height of the study group was significantly better than that of the control group, the difference was statistically significant （ P〈0.05 ）, two groups of patients with vertebral rear highly were consistent （/〉〉0.05 ） .Before treatment, the two groups of cobb angle were basically consistent, the difference was not statistically significant （ P〉0.05 ） .After treatment, the study group of patients with Cobb angle was significantly lower than that of the control group, the difference was statistically significant （ P〈0.05 ） .The total clinical efficiency of the study group was significantly higher than that of the control group, the difference was statistically significant （ P〈0.05 ） .Conclusion： Percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures effect is obvious, the prognosis is good, and it is safe and reliable for long-term clinical application.