膨胀式椎体成形器治疗骨质疏松性椎体压缩性骨折的疼痛评价及伤椎情况比较

Evaluation of Pain and Comparison of Injured Vertebrae in the Treatment of Osteoporotic Vertebral Compression Fractures with Expansive Vertebroplasty

目的:探讨膨胀式椎体成形器(Sky)在骨质疏松性椎体骨折的临床效果和安全性。方法:搜集2017年2月~2018年11月本院收治的83例骨质疏松性椎体骨折的病历资料进行回顾性分析,其中已实施常规经皮椎体成形术(PVP)治疗43例作为对照组,40例已进行膨胀式椎体成形器治疗的患者为观察组,观察两组患者治疗前后疼痛恢复情况、责任椎体Cobb角的恢复情况,评价两种手术方式的临床效果及安全性。结果:治疗后两组患者疼痛NRS评分均较治疗前(8.1±1.1)、(8.2±0.9)明显下降,观察组患者术后疼痛评分(1.4±0.4)较对照组(2.1±0.8)下降显著,P<0.05,观察组患者术后Cobb角(13.6±3.1)低于对照组患者(16.6±3.2),P<0.05。结论:膨胀式椎体成形器对比常规经皮椎体成形术(PVP)在骨质疏松性椎体骨折治疗中,可减轻患者疼痛症状,纠正椎体Cobb角,减轻椎体损伤。

Objective:To investigate the clinical effect and safety of the expandable vertebroplasty(Sky)in osteoporotic vertebral fractures.Methods:The medical records of 83 cases of osteoporotic vertebral fractures admitted to our hospital from February 2017 to November 2018 were collected for retrospective analysis.Among them,43 cases have been treated with conventional percutaneous vertebroplasty(PVP).In the control group,40 patients who have been treated with the expandable vertebroplasty are the observation group.The recovery of pain and the recovery of the Cobb angle of the responsible vertebral body are observed before and after treatment in the two groups,and the clinical effects and safety of the two surgical methods are evaluated.Results:After treatment,the pain NRS scores of the two groups were significantly lower than those before treatment(8.1±1.1)and(8.2±0.9).The postoperative pain scores of the observation group(1.4±0.4)were significantly lower than those of the control group(2.1±0.8),P<0.05,the postoperative Cobb angle(13.6±3.1)of the observation group was lower than that of the control group(16.6±3.2),P<0.05.Conclusion:Compared with the conventional percutaneous vertebroplasty(PVP)in the treatment of osteoporotic vertebral fractures,the expandable vertebroplasty device can reduce the pain symptoms,correct the Cobb angle of the vertebral body,and reduce the vertebral body injury.