经皮椎体成形术联合椎旁阻滞治疗骨质疏松椎体压缩性骨折的效果

Effect of percutaneous vertebroplasty combined with paravertebral in the treatment of osteoporotic vertebral compression fracture

目的探讨经皮椎体成形术(PVP)联合椎旁阻滞治疗骨质疏松椎体压缩性骨折的效果。方法选取本院2016年1月~2018年4月收治的128例骨质疏松椎体压缩性骨折患者为研究对象,根据患者住院号单双数,将患者分为观察组及对照组,其中观察组(住院号为双数)64例,采用PVP联合椎旁阻滞术,对照组(住院号为单数)64例,采用单纯PVP。比较两组的总有效率、手术时间及视觉疼痛模拟量表(VAS)评分情况。结果观察组的总有效率为96.9%,对照组的总有效率为93.8%,两组比较,差异无统计学意义(P>0.05)。观察组手术时间为(30.0±2.2)min,对照组手术时间为(28.0±3.1)min,两组手术时间比较,差异无统计学意义(P>0.05)。治疗后,两组的VAS评分均低于治疗前,观察组治疗后的VAS评分低于对照组,差异有统计学意义(P<0.05)。结论PVP联合椎旁阻滞治疗骨质疏松椎体压缩性骨折能减轻患者疼痛,在未增加手术时间的前提下临床效果更为显著。

Objective To explore the effect of percutaneous vertebroplasty(PVP)combined with paravertebral in the treatment of osteoporotic vertebral compression fracture.Methods A total of 128 cases of osteoporotic vertebral compression fractures from January 2016 to April 2018 in our hospital were selected as research objects.According to the patients'odd or even hospitalization numbers,they were divided into observation group and control group,64 patients in observation group(even hospitalization number)used percutaneous vertebroplasty combined with paravertebral,and 64 patients in control group(odd hospitalization number)used PVP alone.The total effective rate,operation time and visual analogue scale(VAS)score were compared between the two groups.Results The total effective rate of the observation group was 96.9%,which of the control group was 93.8%,the difference between the two groups was not statistically significant(P>0.05).The operation time of the observation group was(30.0±2.2)min,which of the control group was(28.0±3.1)min,the difference in operation time between the two groups was not statistically significant(P>0.05).The VAS scores of the two groups after treatment were lower than those before treatment(P<0.05),and the VAS score of the observation group was lower than that of the control group after treatment,the difference was statistically significant(P<0.05).Conclusion PVP combined with paravertebral in the treatment of osteoporotic vertebral can reduce the pentients'pain and improve their quality of lives,the clinical effect is more remarkable without increasing the operation time.