椎体成形术对骨质疏松脊柱骨折的临床疗效及疼痛程度的影响

The Effect of Vertebroplasty on the Clinical Efficacy and Pain Degree of Osteoporotic Spine Fractures

目的探讨椎体成形术(PVP)对骨质疏松(OP)脊柱骨折的临床疗效及疼痛程度的影响。方法方便选取2020年2月—2021年1月该院收治的82例OP性脊柱骨折患者,以随机数表将其划分为两组,各41例。对照组行常规内固定术治疗,研究组在此基础上应用PVP治疗。比较两组临床疗效,术前与术后6个月时椎体恢复情况(Cobb角、后缘高度压缩率、前缘高度压缩率)、疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI),以及术后并发症情况。结果研究组治疗的总有效率为95.12%高于对照组的78.05%,差异有统计学意义(χ^(2)=5.145,P<0.05)。术后6个月时,研究组Cobb角(10.52±3.02)°、后缘高度压缩率(3.00±0.52)%、前缘高度压缩率(12.30±3.02)%低于对照组(17.50±3.03)°、(4.12±0.65)%、(17.52±3.08)%,差异有统计学意义(t=10.447、8.615、7.749,P<0.05);研究组VAS量表评分(1.65±0.32)分低于对照组(2.23±0.29)分,差异有统计学意义(t=8.600,P<0.05);研究组ODI评分(25.65±5.03)分低于对照组(36.45±5.98)分,差异有统计学意义(t=8.850,P<0.001)。研究组术后并发症发生率为2.44%低于对照组的19.51%,差异有统计学意义(χ^(2)=4.593,P<0.05)。结论PVP在OP脊柱骨折中具有显著的应用效果,能有效改善患者的疼痛症状,强化椎体功能,适于临床推广。

Objective To investigate the effect of vertebroplasty(PVP)on the clinical efficacy and pain degree of osteoporotic(OP)spinal fractures.Methods Selected conveniently 82 patients with OP spinal fracture admitted to the hospital from February 2020 to January 2021 were divided into two groups by random number table,with 41 cases in each group.The control group was treated with conventional internal fixation,and the study group was treated with PVP on this basis.The two groups were compared for clinical efficacy,preoperative and postoperative vertebral recovery(Cobb angle,posterior margin height compression ratio,anterior edge height compression ratio),visual analogue scale(VAS),Oswestry disability index(ODI),and postoperative complications.Results The total effective rate in the study group was 95.12%higher than 78.05%in the control group,and the difference was statistically significant(χ^(2)=5.145,P<0.05).Cobb angle(10.52±3.02)°,posterior edge height compression(3.00±0.52)%,anterior edge height compression(12.30±3.02)%were lower than those of control group(17.50±3.03)°,(4.12±0.65)%,(17.52±3.08)%6 months after operation.The difference was statistically significant(t=10.447,8.615,7.749,P<0.05).The VAS score of the study group(1.65±0.32)points was lower than that of the control group(2.23±0.29)points,and the difference was statistically significant(t=8.600,P<0.05).The ODI score of the study group(25.65±5.03)points was lower than that of the control group(36.45±5.98)points,and the difference was statistically significant(t=8.850,P<0.001).The incidence of postoperative complications in the study group was 2.44%lower than 19.51%in the control group,and the difference was statistically significant(χ^(2)=4.593,P<0.05).Conclusion PVP has a significant application effect in OP spinal fractures,can effectively improve patients'pain symptoms,strengthen vertebral body function,and is suitable for clinical promotion.