经皮椎体成形术治疗老年人骨质疏松性胸腰椎骨折的疗效分析

The analysis of the linical effect about percutaneous vertebral angioplasty in the treatment of elderly osteoporotic thoracolumbar fractures

目的 探讨经皮椎体成形术治疗老年人骨质疏松性胸腰椎骨折的临床疗效。方法 于2013年1月~2015年12月,选取我院收治的100例老年人骨质疏松性胸腰椎骨折患者作为此次研究的对象,采用数字随机表法将患者分为对照组、观察组,每组50例。对照组实施保守治疗,观察组实施经皮椎体成形术治疗。比较两组患者手术前后的VAS疼痛评分、椎体高度、Cobb角、Oswestry功能障碍指数（ODI）,并对两组患者的骨折愈合时间、再次骨折发生率进行比较。结果 手术后,观察组的VAS疼痛评分、椎体高度、Cobb角、ODI指数均较手术前明显改善（P〈0.05）,且观察组手术后的VAS疼痛评分、椎体高度、Cobb角、ODI指数与对照组相比,差异均有统计学意义（P〈0.05）。观察组的骨折愈合时间较对照组明显缩短（P〈0.05）,且观察组的再次骨折发生率较对照组明显更低（P〈0.05）。结论 在老年人骨质疏松性胸腰椎骨折患者的临床治疗中,实施经皮椎体成形术治疗具有可行性,可促使患者的脊椎生理功能和解剖结构有效恢复,有效缓解患者的疼痛,还可减少再次发生骨折的概率。

Objective To investigate and discuss the clinical effect of percutaneous vertebral angioplasty in the treat- ment of elderly osteoporotic thoracolumbar fractures. Methods A total of 100 cases of elderly patients with osteoporosis thoracolumbar fracture patients in the hospital were selected as the research object from January 2013 to December 2015,all the patients were randomly divided into the control group and the observation group by digital random table method, each group with 50 cases. The patients in the control group were treated with conservative treatment, and the observation group was treated with percutaneous vertebral angioplasty. The VAS pain score, vertebral height, Cobb an- gle, Oswestry dysfunction index（ODI） were compared between the two groups before and after surgery, and the fracture healing time and the incidence rate were Compared between the two groups. Results After the operation, the VAS pain score, vertebral height, Cobb angle and ODI index in the observation group were significantly better than pre operation （P〈0.05）, and postoperative VAS pain score, vertebral height, Cobb angle, ODI index in the observation group compared with the control group, the differences were statistically significant（P〈0.05）. The healing time of the observation group was significantly shorter than that of the control group（P〈0.05）, and the incidence of re fracture in the observation group was significantly lower than that of the control group（P〈0.05）. Conclusion In elderly patients with osteoporotic thoracolumbar fracture, the implementation of percutaneous vertebroplasty treatment is feasible, can promote the spinal physiological function and anatomical structure of patients to. effective recovery, can effectively relieve the pain of the patients, but also can reduce the probability of recurrence of fracture.