不同治疗方法缓解骨质疏松性椎体压缩性骨折疼痛的临床研究

Clinical study on different treatment methods to relieve the pain of osteoporotic vertebral compression fracture

目的:观察不同治疗方法缓解骨质疏松性椎体压缩性骨折(OVCF)疼痛的效果。方法:选取2019年12月至2021年11月该院收治的60例OVCF患者进行前瞻性研究,根据抽签法将其分为对照组和观察组各30例。对照组采用常规穿刺经皮椎体成形术(PVP)治疗,观察组采用靶点穿刺PVP治疗,比较两组临床疗效、手术指标水平、治疗前后疼痛[视觉模拟评分法(VAS)]评分、腰椎功能[Oswestry功能障碍指数(ODI)]、Cobb角,以及术后并发症发生率。结果:观察组治疗总有效率为93.33%(28/30),高于对照组的73.33%(22/30),差异有统计学意义(P<0.05);观察组手术时间、X线暴露时间短于对照组,骨水泥注入量少于对照组,差异均有统计学意义(P<0.05);治疗后,两组VAS评分、ODI水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后1、3个月,两组Cobb角均较治疗前缩小,且观察组小于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:靶点穿刺PVP治疗OVCF患者可提高治疗总有效率,缩短手术时间、X线暴露时间,减少骨水泥注入量,缓解疼痛,改善腰椎功能,缩小Cobb角,以及减少并发症的发生,效果优于常规穿刺PVP治疗。

Objective:To observe effects of Clinical study on different treatment methods to relieve the pain of osteoporotic vertebral compression fractures(OVCF).Methods:A prospective study was conducted on 60 patients with OVCF admitted to the hospital from December 2019 to November 2021.They were divided into control group and observation group according to the blind extraction method,30 cases in each.The control group was treated with conventional puncture percutaneous vertebroplasty(PVP),while the observation group was treated with target puncture PVP.The clinical efficacy,the surgical index levels,the pain[visual analogue scale(VAS)]score,the lumbar function[Oswestry dysfunction index(ODI)],the Cobb angle,and the incidence of postoperative complications were compared between the two groups before and after the treatment.Results:The total effective rate of treatment in the observation group was 93.33%(28/30),which was higher than 73.33%(22/30)in the control group,and the difference was statistically significant(P<0.05).The operation time and the X-ray exposure time of the observation group were shorter than those of the control group,the amount of bone cement injection was less than that of the control group,and the differences were statistically significant(P<0.05).After the treatment,the VAS score and the ODI of the two groups were lower than those before the treatment,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).At 1 and 3 months after the treatment,the Cobb angles of the two groups were smaller than those before the treatment,that of the observation group was smaller than that of the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:Target puncture PVP for the OVCF patients can improve the total effective rate of treatment,shorten the operation time,the X-ray exposure time,reduce the amount of bone cement injection,relieve the pain,improve the lumbar function,reduce the Cobb angle,and reduce the complications.Moreover,it is superior to conventional puncture PVP treatment.