单侧穿刺椎体成形术治疗脊椎压缩性骨折的效果分析

Analysis of the Effect of Unilateral Puncture Vertebroplasty in the Treatment of Vertebral Compressibility Fractures

目的探讨单侧穿刺椎体成形术治疗脊椎压缩性骨折的临床效果。方法选取我院在2013年1月—2017年10月收治的45例脊椎压缩性骨折患者作为研究对象。依据治疗方法的不同,将其随机分为研究组(25例)与对照组(20例)。对照组采用传统开放手术进行治疗,研究组采用单侧穿刺椎体形成术进行治疗,分析两组患者的临床效果。结果研究组患者的术中出血量、住院时间少于对照组,组间比较,差异具有统计学意义(P<0.05);术后1个月,研究组患者的优良率为92.00%(23/25),高于对照组的优良率的75.00%(15/20),差异具有统计学意义(χ2=4.28,P<0.05)。结论脊椎压缩性骨折经单侧穿刺椎体成形术进行治疗,可减低术中出血量,缩短住院时间,改善患者术后疼痛情况。

Objective To discuss the effect of unilateral puncture vertebroplasty in the treatment of vertebral compressibility fracture. Methods 45 patients with vertebral compressibility fracture treated by our hospital from January 2013 to October 2017 were selceted as the study objects. According to the different treatment methods, they were randomly divided into the study group （25 cases） and the control group （20 cases）. The control group was treated with traditional open surgery and the study group was treated with unilateral puncture vertebroplasty. The clinical effect of the two groups was analyzed. Results The intraoperative blood volume and hospitalization time of the study group were significantly lower than in the control group,there were signifcant differences between two groups （P〈0.05）. After 1 month surgery, the optimal rate of the study group was 92.00% （23/25）, which was higher than that of the control group 75.00% （15/20）, the difference was statistically siginifcant （χ2=4.28, P〈0.05）. Conclusion The treatment of vertebral compressibility fracture with unilateral puncture vertebroplasty can reduce the bleeding amount of intraoperative blood, shorten the length of hospital stay, and improve the postoperative pain.