单侧穿刺椎体成形术治疗脊柱压缩性骨折效果评价

Unilateral puncture vertebroplasty in treatment of spinal compression fracture

目的研究在脊柱压缩性骨折治疗中应用单侧穿刺椎体成形术的临床效果。方法研究对象为本院2015年5月至2017年5月期间收治的64例脊柱压缩性骨折患者，按随机数字表法均分成参照组与实验组，各32例；将实行传统开放手术患者作为参照组，实行单侧穿刺椎体成形术患者作为实验组，对比两组脊柱压缩性骨折患者的临床治疗效果。结果实验组脊柱压缩性骨折患者并发症发生率为0、下床活动时间为（3．21±0．21）d、术中出血量为（65．54±5．54）ml、住院时间为（7．21±0．69）d、术后日常生活能力评分为（92．36±4．35）分，参照组并发症发生率为18．75％、下床活动时间为（10．54±0．42）d、术中出血量为（135．54±6．54）ml、住院时间为（15．69±0．71）d、术后日常生活能力评分为（78．65±6．98）分对比，差异均有统计学意义（均P〈0．05）。结论单侧穿刺椎体成形术应用在脊柱压缩性骨折治疗中疗效显著，可有效改善患者的生存质量，值得推广。

Objective To study the clinical effect of unilateral puncture vertebroplasty in the treatment of spinal compression fractures. Methods Sixty-four patients with spinal compression fractures treated at our hospital from May, 2015 to May, 2017 were enrolled and randomly divided into a reference group and a exoerimental group, 32 for each group. The reference group were treated with traditional open surgery and the experimental group unilateral puncture vertebroplasty. The clinical treatment effects were compared between these two groups. Results The incidence of complications was 0.0%, the time for off-bed activity （3.21 ±0.21） d, the intraoperative bleeding volume （65.54 ± 5.54） ml, the hospitalization time （7.21 ± 0.69） d, and the postoperative daily life ability score （92.36± 4.35） in the experimental group, and which were 18.75%,（ 10.54± 0.42 ）d, （ 135.54±6.54） ml, （ 15.69 ±0.71 ） d, and （ 78.65 ± 6.98 ） in the reference group, with statistical differences （P 〈0.05）. Conclusion Unilateral puncture vertebroplasty in the treatment of spinal compression fractures is effective and can improve the patients＇ quality of life, so it is worth being generalized.