PKP与PVP治疗骨质疏松性胸腰椎压缩性骨折的临床疗效分析

Clinical Efficacy of PKP and PVP in the Treatment of Osteoporotic Vertebral Compression Fractures

目的 对比分析骨质疏松性胸腰椎压缩性骨折(Osteoporotic Vertebral Compression Fractures,OVCFs)行经皮椎体后凸成形术(Percutaneous Kyphoplasty,PKP)与经皮椎体成形术(Percutaneous Vertebro Plasty,PVP)的实际疗效。方法 随机选取广东省汕头市第二人民医院于2021年1月—2022年12月收治的80例OVCFs患者为研究对象,按照患者所采取的手术方式分组(PVP治疗者入研究组、PKP治疗者入对照组),每组40例。对比两组手术时间、Cobb角、伤椎前缘高度、Oswestry功能障碍指数评分(Oswestry Disability Index,ODI)和术后并发症发生情况。结果 研究组手术时间短于对照组,差异有统计学意义(P<0.05)。对比术前,术后两组Cobb角明显下降、伤椎前缘高度明显上升,差异有统计学意义(P均<0.05),组间对比差异无统计学意义(P均>0.05)。术后两组ODI评分较术前均明显降低,差异有统计学意义(P均<0.05),组间对比差异无统计学意义(P>0.05)。研究组术后并发症总发生率为27.50%,高于对照组的10.00%,差异有统计学意义(P<0.05)。结论 OVCFs患者行PKP、PVP均可取得较理想的治疗效果,其中前者术后并发症发生率较低,后者操作相对简便、费用较低,在实际应用中需结合患者需求和病情选择合适的治疗术式。

Objective To compare and analyze the results of percutaneous kyphoplasty(PKP) and percutaneous vertebro plasty(PVP) for osteoporotic vertebral compression fractures(OVCFs).Methods A total of eighty patients with OVCFs admitted to Shantou Second People's Hospital from January 2021 to December 2022 were randomly selected as the study objects.The patients were divided into groups according to their surgical methods(PVP patients in the study group and PKP patients in the control group),with forty patients in each group.Operation time,Cobb angle,anterior vertebra height,Oswestry disability index score(ODI) and postoperative complications were compared between the two groups.Results The operation time of the study group was shorter than that of the control group,and the difference was statistically significant(P<0.05).Compared with before surgery,the Cobb angle decreased significantly and the anterior edge height increased significantly in the two groups after surgery,and the differences were statistically significant(all P<0.05),there were no significant differences in comparison between groups(all P>0.05).After operation,the ODI score of the two groups was significantly lower than that before operation,and the difference was statistically significant(both P<0.05),there was no significant difference in comparison between groups(P>0.05).The incidence of postoperative complications in the study group was 27.50% higher than that in the control group(10.00%),the difference was statistically significant(P<0.05).Conclusion In OVCFs patients,both PKP and PVP can achieve ideal therapeutic effects,among which the former has a lower incidence of postoperative complications,while the latter is relatively simple to operate and has lower cost.In practical application,appropriate therapeutic methods should be selected according to the needs and conditions of patients.