分析手法复位结合经皮椎体成形术治疗合并椎体裂隙征骨质疏松性椎体压缩骨折的临床效果

Analysis on the Clinical Effect of Manual Reduction Combined with Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fractures with Vertebral Fissures

目的分析探究手法复位结合经皮椎体成形术治疗合并椎体裂隙征骨质疏松性椎体压缩骨折的临床效果。方法随机选取2018年11月—2019年11月在该院治疗的50例合并椎体裂隙征骨质疏松性椎体压缩骨折患者,按照随机数字表将其分为单一治疗组和联合治疗组,单一治疗组患者仅采取经皮椎体成形术进行治疗,而联合治疗组采取手法复位结合经皮椎体成形术治疗,比较两组患者的手术状况、治疗前后的椎体状态、疼痛状况以及骨水泥分布均匀率。结果联合治疗组患者的手术时间为(28.19±7.25)min、住院天数为(4.23±1.18)d以及手术费用为(1.93±0.15)万元,比单一治疗组要更少,差异有统计学意义(t=3.458、6.974、10.889,P<0.05);联合治疗组患者的椎体前缘高度为(84.39±3.38)mm、后凸Cobb角(15.37±2.64)°,比单一治疗组更为良好,差异有统计学意义(t=18.405、6.157,P<0.05);联合治疗组患者的骨水泥分布均匀率为48.00%,比单一治疗组患者更高,差异有统计学意义(χ^(2)=4.367,P<0.05);联合治疗组患者的疼痛评分(1.86±0.51)分比单一治疗组患者要更低,差异有统计学意义(t=8.042,P<0.05)。结论在合并椎体裂隙征骨质疏松性锥体压缩骨折的治疗上,应用手法复位结合经皮椎体成形术,能够达到更好的治疗效果。

Objective To analyze and explore the clinical effect of manual reduction combined with percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures with vertebral fissures.Methods Conveniently selected 50 patients with osteoporotic vertebral compression fractures with vertebral fissure syndrome treated in the hospital from November 2018 to November 2019,and divided them into a single treatment group and a combined treatment group according to a random number table.Patients in the single treatment group were treated with only percutaneous vertebroplasty,while the combined treatment group were treated with manual reduction combined with percutaneous vertebroplasty.Compared the surgical status,vertebral body status before and after treatment,pain status of the two and bone cement distribution uniformity groups of patients.Results The operation time of patients in the combined treatment group was(28.19±7.25)min,the length of hospital stay was(4.23±1.18)d,and the operation cost was(1.93±0.15)ten thousand yuan,all of which were less than those in the single treatment group,and the difference was statistically significant(t=3.458,6.974,10.889,P<0.05);The height of the anterior edge of the vertebral body of the patients in the combined treatment group was(84.39±3.38)mm,and the Cobb angle of kyphosis was(15.37±2.64)°,which were better than those in the single treatment group,and the difference was statistically significant(t=18.405,6.157,P<0.05);The uniformity rate of bone cement distribution in the combined treatment group was 48.00%, which was higher than that of the single treatment group,and the difference was statistically significant(χ^(2)=4.367,P<0.05);the pain score (1.86±0.51)points of the combined treatment group was lower than that of the single treatment group,the difference was statistically significant(t=8.042, P<0.05). Conclusion In the treatment of osteoporotic cone compression fractures with vertebral fissures, manual reduction combined with percutaneous vertebroplasty can achieve better therapeutic effects.