球囊扩张椎体后凸成形术在老年人胸腰椎骨质疏松性压缩骨折治疗中的应用

Application of Percutaneous Balloon Kyphoplasty in the Treatment of Osteoporotic Vertebral Compression Fractures in the Elderly

目的 观察球囊扩张椎体后凸成形术在老年人胸腰椎骨质疏松性压缩骨折治疗中的应用。方法 选取2020年7月-2021年7月在我院诊治的66例胸腰椎骨质疏松性压缩骨折老年患者为研究对象,采用随机数字表法分为对照组和观察组,各33例。对照组采用经皮椎体成形术治疗,观察组采用经皮球囊扩张椎体后凸成形术,比较两组临床手术指标、疼痛评分、腰椎功能障碍评分(ODI)评分、椎体前缘高度、Cobb角、并发症发生率。结果 观察组手术时间长于对照组,骨水泥用量多于对照组,术中出血量少于对照组(P<0.05);观察组术后疼痛评分低于对照组(P<0.05);两组术后ODI评分均低于术前,椎体前缘高度大于术前,Cobb角小于术前,且观察组ODI评分、Cobb角均小于对照组,椎体前缘高度大于对照组(P<0.05);观察组并发症发生率为9.09%,低于对照组的21.21%(P<0.05)。结论 球囊扩张椎体后凸成形术在老年人胸腰椎骨质疏松性压缩骨折虽然手术时间长,但是可减轻疼痛评分,增加骨水泥用量,降低腰椎功能障碍评分,增大椎体前缘高度,减小Cobb角,降低并发症发生率,疗效确切,值得临床应用。

Objective To observe the application of balloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures in the elderly.Methods A total of 66 elderly patients with osteoporotic vertebral compression fractures who were treated in our hospital from July 2020 to July 2021were selected as the research objects.They were divided into control group and observation group by random number table method,with 33 cases in each group.The control group was treated with percutaneous vertebroplasty,and the observation group was treated with percutaneous balloon kyphoplasty.The clinical operation indexes,pain score,lumbar dysfunction score(ODI),anterior vertebral height,Cobb angle and complication rate were compared between the two groups.Results The operation time of the observation group was longer than that of the control group,the amount of bone cement was more than that of the control group,and the intraoperative blood loss was less than that of the control group( P <0.05).The postoperative pain score of the observation group was lower than that of the control group( P<0.05).The postoperative ODI scores of the two groups were lower than those before operation,the anterior vertebral height was higher than that before operation,and the Cobb angle was smaller than that before operation,while the ODI score and Cobb angle of the observation group were smaller than those of the control group,and the anterior vertebral height was higher than that of the control group(P<0.05).The incidence of complications in the observation group was 9.09 %,which was lower than21.21 % in the control group(P<0.05).Conclusion Although balloon kyphoplasty has a long operation time in the treatment of osteoporotic vertebral compression fractures in the elderly,but it can reduce the pain score,increase the amount of bone cement,reduce the lumbar dysfunction score,increase the height of the anterior edge of the vertebral body,reduce the Cobb angle,and reduce the incidence of complications,which is effective and worthy of clinical application.