探究椎体成形术与保守疗法治疗脊柱骨质疏松骨折的效果

Percutaneous Vertebroplasty and Conservative Treatment for Osteoporotic Vertebral Fractures

目的:对脊柱骨质疏松骨折采用椎体成形术与保守疗法治疗的效果进行探究。方法:以笔者所在医院脊柱骨质疏松骨折患者60例为研究对象,选取时间为2016年10月-2018年10月。采用数字随机抽取法将患者分为两组,每组30例。采用保守疗法治疗对照组患者,采用椎体成形术治疗观察组患者,将两组的治疗结果进行比较。结果:对照组总有效率为76.67%,显著低于观察组的96.67%(P<0.05);对照组VAS评分高于观察组,伤椎功能恢复评分和椎体前、后缘高度改善情况低于观察组(P<0.05)。观察组出现骨水泥渗漏、尿路感染各1例,并发症发生率为6.67%,对照组出现尿路感染3例、压疮2例、下肢静脉血栓1例,并发症发生率为20.00%,观察组显著低于对照组(P<0.05)。结论:对于脊柱骨质疏松骨折患者,采用椎体成形术治疗效果较好,能够显著改善治疗效果,减轻疼痛,改善运动功能,并发症少,适合临床参考。

Objective:To explore the effect of vertebroplasty and conservative treatment for spinal osteoporotic fractures.Method:60 cases of spinal osteoporotic fracture were selected from October 2016 to October 2018.The patients were randomly divided into two groups with 30 cases in each group.Patients in the control group were treated with conservative therapy and patients in the observation group were treated with vertebroplasty.The results of the two groups were compared.Result:The total effective rate was 76.67% in the control group and 96.67% in the observation group(P<0.05).The VAS score in the control group was higher than that in the observation group(P<0.05).The recovery score of injured vertebral function and the improvement of anterior and posterior vertebral height were lower than those in the observation group(P<0.05).The incidence of complications in the control group was 6.67%,which was significantly lower than 20.00% in the observation group(P<0.05).Conclusion:Vertebroplasty is the best method for the treatment of spinal osteoporotic fracture,which can significantly improve the therapeutic effect,relieve pain,improve motor function,and has fewer complications.It is suitable for clinical reference.