经皮椎体成形术治疗骨质疏松性脊柱骨折的临床疗效

Clinical Curative Effect of Percutaneous Vertebroplasty in Treatment of Osteoporotic Vertebral Fracture

目的观察经皮椎体成形术治疗骨质疏松性脊柱骨折的临床疗效。方法选取在该院治疗的骨质疏松性脊柱骨折患者90例(2014年7月—2016年7月期间)作为观察对象。使用随机数字表法将其简单化分2组,45例为1组。对照组患者使用保守治疗,观察组患者采用经皮椎体成形术进行治疗。对比2组患者治疗后的效果,并观察治疗前后患者的疼痛程度(VAS)、脊柱功能障碍指数(ODI)、椎体高度丢失率、Cobb氏角以及镇痛药评分。结果观察组患者的总有效率为93.33%,优于对照组(77.78%),(P<0.05);治疗后,其VAS评分(1.13±0.35)分、ODI评分(3.68±0.54)分、椎体高度丢失率(10.58±9.14)%、Cobb氏角(5.24±5.47)°以及镇痛药评分(0.41±0.35)分均优于对照组(P<0.05)。结论经皮椎体成形术治疗骨质疏松性脊柱骨折的效果更为可观,值得推广。

Objective To observe the clinical curative effect of percutaneous vertebroplasty in treatment of osteoporotic vertebral fracture.Methods 90 cases of patients with osteoporotic vertebral fracture treated in our hospital from July 2014 to July 2016 were selected as the observation objects and randomly divided into two groups with 45 cases in each, the control group adopted the conservative treat-ment, while the observation group were treated with percutaneous vertebroplasty, and the treatment effect was compared between the two groups, and the VAS, ODI, vertebral body height loss rate, Cobb angle and analgesic score before and after treatment were ob-served. Results The total effective rate in the observation group was better than that in the control group（93.33% vs 77.78%）（P〈0.05）,after treatment, the VAS, ODI, vertebral body height loss rate, Cobb angle and analgesic score in the observation group were better than those in the control group, which was respectively（1.13±0.35）points,（3.68±0.54）points,（10.58±9.14）%,（5.24±5.47）° and（0.41±0.35）points（P〈0.05）. Conclusion The effect of percutaneous vertebroplasty in treatment of osteoporotic vertebral fracture is obvious,which is worth promotion.