经皮椎体后凸成形术治疗老年骨质疏松性椎体压缩性骨折的效果分析

Effect Analysis of Percutaneous Kyphoplasty in Treatment of Elderly Osteoporotic Vertebral Compression Fractures

目的分析老年骨质疏松性胸腰椎压缩性骨折患者应用经皮椎体后凸成形术治疗的作用。方法选取2020年1月—2022年1月本院收治的100例老年骨质疏松性椎体压缩性骨折患者为研究对象,按照奇偶分组法将其分为常规组和研究组,每组50例。常规组采用经皮椎体成形术治疗,研究组应用经皮椎体后凸成形术治疗,对比治疗效果。结果治疗后,研究组治疗有效率较常规组更高(P<0.05);研究组生活质量各维度评分较常规组更高(P<0.05);研究组并发症概率较常规组更低(P<0.05);研究组伤椎前缘高度、伤椎后缘高度、伤椎中线高度均较常规组更高(P<0.05),研究组在后凸角(Cobb角)上较常规组更小(P<0.05)。结论老年骨质疏松性椎体压缩性骨折患者应用经皮椎体后凸成形术治疗效果显著,患者生活质量提高,并发症减少,值得推广。

Objective To analyze curative effect of percutaneous kyphoplasty on elderly patients with osteoporotic thoracolumbar compression fractures.Methods The paper chose 100 elderly patients with osteoporotic vertebral compression fractures in Xuzhou Medical University Affiliated Hospital from January 2020 to January 2022,and divided equally into study group and control group with odd even grouping method,with 50 cases in each group.Routine group was treated with percutaneous vertebroplasty,while study group with percutaneous kyphoplasty.Curative effect was compared.Results Study group had higher curative effect rate,p<0.05,higher scores in dimensions of life quality,with p<0.05.Incidence of complications in study group was lower,p<0.05.Height of anterior and posterior edges of injured vertebra,midline height of the injured vertebra in study group was higher,posterior convex angle(Cobb angle)was less,with p<0.05.Conclusion Percutaneous kyphoplasty can achieve significant effect,improve life quality,reduce complications of elderly patients with osteoporotic vertebral compression fractures,which is worthy of promotion.