经皮椎体成形术治疗骨质疏松性椎体压缩性骨折手术时机与术后疼痛缓解关系的回顾性分析

Retrospective Analysis of Relationship Between Operation Timing and Postoperative Pain Relief of Osteoporotic Vertebral Compression Fracture Treated By Percutaneous Vertebroplasty

目的 体会经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩性骨折患者的手术时机与术后疼痛缓解情况。方法 借助回顾性方式展开,选取深圳市宝安中医院2018年5月至2019年10月接收的骨质疏松性椎体压缩性骨折患者78例,均给予PVP治疗;根据受伤至手术时间将其分为观察1组(26例,<7d)观察2组(26例,7~21d)观察3组(26例,>21d),治疗前收集患者姓名、性别、年龄等基础信息,手术前后对患者VAS疼痛评分、活动能力进行分析。结果 在骨水泥注入量方面,三组间数据对比差异无统计学意义(P>0.05)。而经手术治疗后,均可有效缓解患者疼痛并提高生活质量,数据对比差异有统计学意义(P<0.05)。结论 治疗骨质疏松性腰椎压缩性骨折,PVP具备显著优势,可有效改善患者术后疼痛,而对此疾病患者,在伤后7~21d内实施PVP治疗效果最佳。

Objective To understand operation timing and postoperative pain relief of patients with osteoporosis vertebral compression fracture treated with percutaneous vertebroplasty (PVP).Methods The paper chose 78 cases osteoporosis vertebral compression fracture patients in our hoapital from May 2018 to October 2019 for analysis and review,all cases were treated with PVP.According to injury to operation time,the paper divided them into observation group 1 (26 cases <7 days) observation group 2 (26 cases,7~21 days) observation group 3 (26 cases,21 days).Before treatment,basic information including patient name,gender and age was collected,VAS pain scores and activity ability of patients were analyzed before and after operation.Results There was no significant difference in cement injection amount between three groups,P>0.05,with no significant difference (P<0.05).Surgical treatment can effectively relieve pains and improve life quality of,patients.data comparison showed significant difference (P<0.05).Conclusion PVP has significant advantage in treatment of osteoporosis lumbar compression fracture,can improve postoperative pains effectively.PVP treatment can achieve the best effect 7~21 days after injury for the disease.