经皮椎体成形术与椎体后凸成形术治疗老年骨质疏松性椎体压缩性骨折的临床研究

Clinical Study on Percutaneous Vertebroplasty and Kyphoplasty(PKP)for Elderly Osteoporotic Vertebral Compression Fractures

目的探究对老年骨质疏松性椎体压缩性骨折患者应用经皮锥体成形术(PVP)、椎体后凸成形术(PKP)治疗的效果。方法选取2020年5月—2022年12月在本院接受治疗的60例老年骨质疏松性椎体压缩性骨折患者为数据分析对象,并按照数字随机法分为对照组和观察组,每组30例。其中,对照组实施PVP治疗,观察组实施PKP治疗,比较两组临床治疗效果、椎体前缘高度以及伤椎Cobb角。结果观察组的治疗效果高于对照组,但组间差异无统计学意义(P>0.05)。在治疗后7d、30d时,观察组椎体前缘高度比对照组较高,伤椎Cobb角比对照组较小,组间差异有统计学意义(P<0.05)。结论PVP以及PKP治疗老年骨质疏松性椎体压缩性骨折效果相当,PKP治疗能更明显地恢复椎体前缘高度,矫正后凸畸形,在临床治疗方案中值得大范围推广与实施。

Objective To explore curative effect of percutaneous Vertebroplasty(PVP)and Kyphoplasty(PKP)for elderly patients with osteoporotic vertebral compression fractures.Methods The paper chose 60 patients with the disease in our hospital from May 2020 to December 2022 for data analysis,and divided them into two groups randomly:control and observation,with 30 cases in each group.Control group was treated with PVP treatment,while observation group with PKP treatment.Clinical treatment effect,anterior vertebral height,and Cobb angle of the injured vertebra was compared between two groups.Results Clinical treatment effect between two groups was compare,that of observation group and control group was 96.67%and 93.33%.There was no significant difference between two groups(P>0.05).Comparative analysis was carried out between anterior vertebral height and the Cobb angle of injured vertebra in observation group.At 7 and 30 days after treatment,anterior vertebral height in observation group was higher than control group,while Cobb angle of injured vertebra was smaller than control group(P<0.05).Conclusion PVP and PKP can achieve similar effect for elderly osteoporotic vertebral compression fractures.However,PKP treatment can restore the anterior vertebral height and correct kyphotic deformities significantly,which is worthy of promotion and application in a large scale in clinical treatment plans.