经皮椎体成形术治疗老年骨质疏松性胸腰椎压缩骨折的价值研究

Study on the Value of Percutaneous Vertebroplasty in the Treatment of Senile Osteoporotic Thoracolumbar Compression Fractures

目的探讨老年骨质疏松性胸腰椎压缩骨折患者采用经皮椎体成形术治疗的价值。方法方便选取2017年1月—2019年12月该院收治的98例老年骨质疏松性胸腰椎压缩骨折患者为研究对象,按双盲法分为两组,以复位枕垫和康复训练者49例纳入对照组,以经皮椎体成形术治疗者49例纳入观察组,统计两组恢复优良率、临床指标、并发症发生率。结果观察组恢复优良率(95.92%)高于对照组(81.63%),差异有统计学意义(χ^(2)=5.018,P<0.05)。观察组术前5项手术指标与对照组相比差异无统计学意义(P>0.05)。观察组术后12个月VAS评分(1.28±0.32)分、Cobb's角(10.88±1.82)°、ODI指数(31.72±3.52)低于对照组,活动功能(90.34±2.99)分、椎体前缘高度(1.88±0.21)cm高于对照组,差异有统计学意义(t=3.499、6.876、4.527、16.554、5.293,P<0.05)。观察组并发症发生率(8.16%)高于对照组(22.49%),差异有统计学意义(χ^(2)=4.781,P<0.05)。结论经皮椎体成形术在老年骨质疏松性胸腰椎压缩骨折治疗中可行性较高,可改善其疼痛程度及肢体功能,亦可降低并发症率,值得借鉴及参考。

Objective To investigate the value of percutaneous vertebroplasty in elderly patients with osteoporotic thoracolumbar compression fractures.Methods From January 2017 to December 2019,98 elderly patients with osteoporotic thoracolumbar compression fractures admitted to the hospital were conveniently selected as the research objects.They were divided into two groups according to the double-blind method.49 cases of pillow reduction and rehabilitation training were included in the control group.49 cases treated by percutaneous vertebroplasty were included in the observation group,and the recovery rate,clinical indicators,and complication rate of the two groups were counted.Results The excellent recovery rate of the observation group(95.92%)was higher than that of the control group(81.63%),and the difference was statistically significant(χ^(2)=5.018,P<0.05).There was no statistically significant difference between the observation group and the control group in 5 surgical indicators before operation(P>0.05).The VAS score(1.28±0.32)points,Cobb's angle(10.88±1.82)°,and ODI index(31.72±3.52)points at 12 months after operation were lower than those of the control group,and the movement function(90.34±2.99)points and the height of the anterior vertebral body(1.88±0.21)cm of the observation group were higher than those of the control group,and the difference was statistically significant(t=3.499,6.876,4.527,16.554,5.293,P<0.05).The complication rate in the observation group(8.16%)was higher than that in the control group(22.49%),and the difference was statistically significant(χ^(2)=4.781,P<0.05).Conclusion Percutaneous vertebroplasty is more feasible in the treatment of elderly osteoporotic thoracolumbar compression fractures.It can improve the pain degree and limb function,and can also reduce the complication rate.It is worth learning and reference.