经皮椎体成形术和后凸成形术治疗老年骨质疏松性椎体压缩骨折的效果观察

Effect Observation of Percutaneous Vertebroplasty and Kyphoplasty in Treatment of Elderly Osteoporotic Vertebral Compression Fractures

目的将经皮椎体成形术与经皮椎体后凸成形术分别应用于老年骨质疏松性椎体压缩骨折患者的临床治疗中,观察临床效果。方法此文开展分析的资料为2017年1月至2018年6月本院纳入的40例老年骨质疏松性椎体压缩骨折患者,分组法是随机法,一组纳入20例,经皮椎体成形术用于参照组,经皮椎体后凸成形术用于实验组,统计两组患者的治疗有效总计率、骨水泥渗漏总计率。结果实验组患者的治疗有效总计率对比参照组患者相关数据,P>0.05,无数据计算的统计学意义,实验组患者的骨水泥渗漏总计率对比参照组患者相关数据更低,P<0.05,有数据计算的统计学意义。结论对老年骨质疏松性椎体压缩骨折患者实施经皮椎体成形术或经皮椎体后凸成形术治疗均可获得良好临床效果,但经皮椎体后凸成形术更不易发生骨水泥渗漏现象。

Objective to observe clinical effect of percutaneous vertebroplasty and kyphoplasty in treatment of elderly patients with osteoporotic vertebral compression fractures. Methods analyze data of 40 cases elderly osteoporotic vertebral compression fractures patients in our hospital from January 2017 to June 2018. Divide them into groups randomly, 20 cases in reference group were treated with percutaneous vertebroplasty, and experimental group with percutaneous kyphoplasty. Carry on statistics of effective total rate and bone cement leakage rate of two groups. Results total effective rate showed no statistical significance of data calculation between experimental and reference group, P〉0.05. Total bone cement leakage rate of experimental group was lower than reference group, with statistical significance of data calculation, P〈0.05. Conclusion percutaneous vertebroplasty and kyphoplasty can achieve good clinical effect in treatment of elderly patients with osteoporotic vertebral compression fractures, and percutaneous kyphoplasty has less incidence of bone cement leakage.