经皮椎体成形术治疗老年胸腰椎骨折对患者手术创伤程度的影响

Effect of Percutaneous Vertebroplasty on the Degree of Surgical Trauma in Elderly Patients with Thoracolumbar Fracture

目的:分析老年胸腰椎骨折行经皮椎体成形术治疗的影响。方法:选取我院2022年3月-2023年3月收治的98例老年胸腰椎骨折患者为研究对象,以双色球法分为2组,每组49例。对照组行切开复位内固定术,观察组行经皮椎体成形术。比较2组患者的椎体状态、恢复情况、临床指标及并发症发生情况。结果:术后,观察组后凸Cobb角低于对照组,椎体前缘高度高于对照组,组间差异有统计学意义(P<0.05);观察组腰椎功能评分高于对照组,疼痛评分低于对照组,组间差异有统计学意义(P<0.05);观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。观察组手术、消肿、住院时间均短于对照组,术中出血量少于对照组,组间差异有统计学意义(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:经皮椎体成形术优势多,能降低手术创伤程度,恢复脊柱状态,减轻脊柱疼痛问题,还能预防并发症,增强脊柱功能,改善老年胸腰椎骨折预后。

Objective:To analyze the effect of percutaneous vertebroplasty on thoracolumbar fracture in elderly patients.Methods:98 elderly patients with thoracolumbar fracture admitted to our hospital from March 2022 to March 2023 were selected as the study objects and divided into 2 groups with 49 cases in each group by bicolor sphere method,the control group underwent open reduction and internal fixation,and the observation group underwent percutaneous vertebroplasty,The vertebral status,recovery,clinical indexes and complications of the two groups were compared.Results:After operation,the kyphotic Cobb Angle in the observation group was lower than that in the control group,and the vertebral anterior margin height was higher than that in the control group,with statistical significance(P<0.05);the lumber vertebral function score of the observation group was higher than that of the control group,and the pain score was lower than that of the control group,with statistical significance(P<0.05);the life quality score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The operation,detumescence and hospitalization time of the observation group were shorter than that of the control group,and the intraoperative blood loss was less than that of the control group,with statistical significance(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Percutaneous vertebroplasty has many advantages,which can reduce the degree of surgical trauma,restore the spinal status,alleviate spinal pain,prevent complications,enhance spinal function,and improve the prognosis of elderly thoracolumbar fracture.