经皮椎体成形术与经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折的效果比较

Comparison between Percutaneous Vertebroplasty and Percutaneous Kyphoplasty in Treatment of Osteoporotic Vertebral Compression Fracture

目的:观察并比较治疗骨质疏松性椎体压缩骨折(OVCF)采取经皮椎体后凸成形术(PKP)与经皮椎体成形术(PVP)的效果。方法:选取笔者所在科室2018年6月-2019年5月收治的OVCF患者96例,随机分为对照组(PVP)48例和观察组(PKP)48例,对比治疗效果。结果:观察组手术时间为(27.7±3.5)min,骨水泥渗透率为8.3%,均优于对照组的(31.1±5.3)min、31.25%,差异均有统计学意义(P<0.05);两组术前VAS评分、骨折椎体Cobb角、改良ODI对比差异无统计学意义(P>0.05),术后3 d两组各指标均优于术前(P<0.05),但组间对比差异无统计学意义(P>0.05)。结论:PKP较PVP可减少手术时间和骨水泥渗透率,但是两种治疗方式在矫正骨折椎体后凸、提高日常生活能力、降低疼痛方面效果相当。

Objective:To observe and compare the efficacy of percutaneous kyphoplasty(PKP)and percutaneous vertebroplasty(PVP)in the treatment of osteoporotic vertebral compression fracture(OVCF).Method:A total of 96 OVCF patients admitted to our department from June 2018 to May 2019 were randomly divided into 48 cases of the control group(PVP)and 48 cases of the observation group(PKP),the therapeutic effect of two groups were compared.Result:The operative time of the observation group was(27.7±3.5)min,bone cement permeability was 8.3%,were better than that(31.1±5.3)min and 31.25%of the control group,the differences were statistically significant(P<0.05).There were no significant differences in VAS score,Cobb angle and modified ODI between the two groups before operation,but the indexes in the two groups at 3 days after operation were better than those before operation(P<0.05),but there were no significant differences between the two groups(P>0.05).Conclusion:Compared with PVP,PKP can reduce operation time and bone cement permeability,but the two treatment methods have similar effects in correcting vertebral kyphosis,improving daily living ability and reducing pain.