PVP与PKP治疗骨质疏松脊柱压缩性骨折的临床效果

Clinical effects of PVP and PKP in the treatment of osteoporotic vertebral compression fractures

目的探讨经皮椎体成形术(PVP)和经皮椎体后凸成形术(PKP)治疗骨质疏松脊柱压缩性骨折的治疗效果。方法选择本院收治的骨质疏松脊柱压缩性骨折患者152例随机分为PVP组和PKP组,各76例。PVP组采取PVP手术方法治疗,PKP组采取PKP手术方法治疗。观察两组患者的治疗效果。结果 PVP组患者手术时间、住院费用及骨水泥注射量均明显优于PKP组(P<0.05);治疗后,两组患者VAS评分和椎体高度均明显优于治疗前,且PKP组的椎体高度优于PVP组(P<0.05);PKP组骨水泥渗漏率显著低于PVP组(P<0.05)。结论采取PVP与PKP治疗骨质疏松脊柱压缩性骨折均具有一定治疗效果,但是PKP组患者治疗后椎体高度优于PVP组,值得临床推广应用。

Objective To investigate the effect of percutaneous vertebroplasty （PVP） and percutaneous kyphoplasty（PKP） in the treatment of osteoporotic vertebral compression fractures. Methods A total of 152 patients with osteoporoticvertebral compression fractures were selected and divided into PVP group and PKP group, with 76 cases in each group.The clinical effects of both groups were compared. Results The operation time, hospitalization cost and amount of bonecement injection in the PVP group were better than those of the PKP group （P〈0.05）. After treatment, the VAS scores andvertebral heights of the two groups were better than those before treatment, and vertebral height of the PKP group wasbetter than that of the PVP group （P〈0.05）. The rate of bone cement leakage in the PKP group was lower than that of thePVP group （P〈0.05）. Conclusion Both PVP and PKP can have certain therapeutic effects, but the vertebral height of thePKP group was better than that of the PVP group, which is worthy of clincal application.