经皮椎体成形手术治疗老年骨质疏松性胸腰椎压缩性骨折的疗效

The curative effect of percutaneous vertebroplasty operation in the treatment of osteoporotic vertebral compression fractures

目的:探讨老年骨质疏松性胸腰椎压缩性骨折患者选择经皮椎体成形手术(PVP)治疗的临床效果。方法:2013年8月-2014年5月收治骨质疏松性胸腰椎压缩性骨折患者90例,对患者实施PVP手术治疗。在完成手术后,对患者按照常规选择抗生素进行治疗1~2 d。利用VAS(视觉模拟评分法)对最终的治疗效果进行评价。结果:所有患者全部成功完成PVP手术。在手术后0.5~5 d,患者疼痛症状显著缓解,直至消失。对患者进行为期3~6个月的随访。在准备手术前、手术后3 d以及手术后半年,患者VAS评分分别为0~3分、8~9分以及8~10分。准备手术前以及完成手术后3 d,差异有统计学意义(P<0.05);准备手术前以及完成手术后的半年,差异有统计学意义(P<0.05);完成手术后3 d以及完成手术后半年,差异无统计学意义(P>0.05)。结论:骨质疏松性胸腰椎压缩性骨折患者进行PVP手术治疗,临床效果肯定,患者临床疼痛症状显著缓解,生活质量显著提高,短期及长期疗效均可靠。

Objective:To investigate the curative effect of percutaneous vertebroplasty operation(PVP) in the treatment of osteoporotic vertebral compression.Methods:90 cases with osteoporotic vertebral compression fractures were selected from August2013 to May 2014.They were performed PVP operation.After the operation,they were treated with antibiotics for 1~2 days according to the conventional.Evaluate the final treatment effect using VAS(visual analogue scale).Results:All the patients were completed PVP operation successfully.After 0.5~5 days of the operation,the pain symptoms of patients began reliefed significantly,until it disappeared.The patients were followed-up for 3~6 months.Before operation,3 days and half a year after operation,VAS scores of the patients were 0~3,8~9 and 8~10.The difference between before operation and three days after operation was statistically significant(P<0.05).When comparied before operation and half year after operation,there was a significant difference(P<0.05).The difference between three days after operation and half year after operation was no significant(P>0.05).Conclusion:The clinical effect of PVP operation treated on patients with osteoporotic vertebral compression fractures is positive.Their clinical pain symptoms relieved significantly.The quality of life improves significantly.The short-term and long-term curative effect both are reliable.