经皮椎体成形术治疗骨质疏松性骨折30例临床探讨

Clinical Study of 30 Cases of Osteoporotic Fracture Treated by Percuta⁃neous Vertebroplasty

目的针对骨质疏松性骨折患者接受经皮椎体成形术治疗的临床效果展开研究与分析。方法以徐州市贾汪区第二人民医院在2017年7月-2021年7月期间收治的60例骨质疏松性骨折患者作为研究对象,按随机抽签方法分为研究组30例,对照组30例,研究组接受经皮椎体成形术治疗,对照组接受保守治疗。对两组患者机体各项指标改善情况、生活质量、治疗效果等指标展开研究。结果研究组治疗后日常活动能力评分(86.82±5.26)分、肢体运动功能评分(87.78±5.71)分均高于对照组,且疼痛评分(1.67±0.67)分低于对照组,差异有统计学意义(t=7.026、6.248、4.410,P<0.05);治疗后各项生活质量评分均高于对照组,差异有统计学意义(P<0.05);治疗后Cobb角(9.62±3.21)°、椎体压缩率(20.54±3.08)%明显低于对照组,且椎体高度(81.33±7.79)%明显高于对照组,差异有统计学意义(t=4.661、6.181、6.417,P<0.05);治疗总有效率96.67%高于对照组,差异有统计学意义(χ^(2)=7.680,P<0.05)。结论通过利用经皮椎体成形术对骨质疏松性骨折患者实施临床治疗,可以显著提升其治疗效果,患者各项指标均能够得到良好改善,因而适合普及推广使用。

Objective To study and analyze the clinical effect of percutaneous vertebroplasty in patients with osteopo⁃rotic fractures.Methods A total of 60 patients with osteoporotic fractures admitted to the Second People's Hospital of Jiawang District from July 2017 to July 2021 were selected as the research subjects.According to the random draw⁃ing method,they were divided into 30 cases in the study group and 30 cases in the control group.The study group re⁃ceived percutaneous vertebroplasty,and the control group received conservative treatment.The improvement of vari⁃ous indicators of the body,quality of life,treatment effect and other indicators of the two groups of patients were stud⁃ied.Results After treatment,the daily activity ability score(86.82±5.26)and the limb motor function score(87.78±5.71)in the study group were higher than those in the control group,and the pain score(1.67±0.67)was lower than that of the control group,the difference was statistically significant(t=7.026,6.248,4.410,P<0.05);the scores of quality of life after treatment were higher than those in the control group,the difference was statistically significant(P<0.05);Cobb angle(9.62±3.21)°and vertebral body compression rate(20.54±3.08)%after treatment were signifi⁃cantly lower than those of the control group,and the vertebral body height(81.33±7.79)%was significantly higher than that of the control group,the difference was statistically significant(t=4.661,6.181,6.417,P<0.05);the total ef⁃fective rate of treatment was 96.67% higher than that of the control group,the difference was statistically significant(χ^(2)=7.680,P<0.05).Conclusion The clinical treatment of patients with osteoporotic fractures by percutaneous verte⁃broplasty can significantly improve the therapeutic effect,and all indicators of patients can be improved,so it is suit⁃able for popularization and use.