经皮椎体成形术用于治疗老年骨质疏松性脊柱压缩骨折的效果及安全性分析(1)
[摘要] 目的 探讨对老年骨质疏松性脊柱压缩骨折患者開展经皮椎体成形术治疗后，观察在临床疗效以及用药安全性方面获得的效果。 方法 选择我院2015年2月～2016年12月收治的122例老年骨质疏松性脊柱压缩骨折患者作为实验对象；利用随机数表法展开老年骨质疏松性脊柱压缩骨折患者随机分组；对照组：经皮椎体后凸成形术；观察组：经皮椎体成形术；对比手术效果与安全性。 结果 观察组VAS评分以及Cobb角表现优于对照组老年骨质疏松性脊柱压缩骨折患者(P<0.05)；观察组骨水泥注射量以及临床手术时间等指标优于对照组老年骨质疏松性脊柱压缩骨折患者(P<0.05)；观察组出现下肢静脉血栓以及褥疮等概率(3.28%)低于对照组老年骨质疏松性脊柱压缩骨折患者(21.31%)(P<0.05)。 结论 对老年骨质疏松性脊柱压缩骨折患者充分开展经皮椎体成形术治疗工作，同选择经皮椎体后凸成形术的方法加以比较，可以使得对患者机体造成损害的程度得以显著降低，使得患者的VAS评分以及Cobb角表现得以确切改善，从而保证老年骨质疏松性脊柱压缩骨折患者的疗效以及治疗安全性获得显著优化。
[关键词] 经皮椎体成形术；经皮椎体后凸成形术；老年骨质疏松性脊柱压缩骨折；临床效果；安全性
[中图分类号] R687.3 [文献标识码] A [文章编号] 2095-0616(2017)14-213-04
Efficacy and safety of percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures in the elderly
WU Junlin1 ZHANG Fuming2 YAN Zhiqing1 LI Peilong1 LI Meng1
1. Department of Orthopaedics， Yunlong Orthopedics Hospital， the Inner Mongolia Autonomous Region， Baotou 014010， China； 2. Department of Orthopaedics， Baotou Eighth Hospital， the Inner Mongolia Autonomous Region， Baotou 014010， China
[Abstract] Objective To explore the percutaneous vertebroplasty for osteoporotic vertebral compression fractures in the elderly， and to observe the effect on the clinical efficacy and the safety of medication. Methods 122 cases of osteoporotic vertebral compression fractures in the elderly cued in our hospital from February 2015 to December 2016 were selected as the experimental object. By using the random number table method， the senile osteoporotic vertebral compression fractures were randomly divided into control group (treataed with percutaneous kyphoplasty) and observation group (treated wiht percutaneous vertebroplasty). Operation effect and safety of the two groups were compared. Results The VAS score and Cobb angle of the observation group were better than those of the control group， and the elderly patients with osteoporotic vertebral compression fractures were extremely significant (P<0.05). The amount of bone cement injection and the time of clinical operation in the observation group were better than those in the control group， and the elderly patients with osteoporotic vertebral compression fractures were extremely significant (P<0.05). The extremity vein thrombosis and bedsore of observation group (3.28%) was lower than that of control group with (21.31%)， and the elderly osteoporotic vertebral compression fracture patients was extremely significant (P<0.05). Conclusion The treatment of osteoporotic vertebral compression fractures in the elderly is carried out with percutaneous vertebroplasty， and the methods of percutaneous kyphoplasty are compared. It can significantly reduce the extent of damage to the patient’s body， improve the patient’s VAS score and Cobb angle performance， and then it ensures the efficacy and safety of treatment of osteoporotic vertebral compression fractures in elderly patients have been significantly optimized., http://www.100md.com(武君麟?张福明?闫志清?李培龙?李猛)
[关键词] 经皮椎体成形术；经皮椎体后凸成形术；老年骨质疏松性脊柱压缩骨折；临床效果；安全性
[中图分类号] R687.3 [文献标识码] A [文章编号] 2095-0616(2017)14-213-04
Efficacy and safety of percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures in the elderly
WU Junlin1 ZHANG Fuming2 YAN Zhiqing1 LI Peilong1 LI Meng1
1. Department of Orthopaedics， Yunlong Orthopedics Hospital， the Inner Mongolia Autonomous Region， Baotou 014010， China； 2. Department of Orthopaedics， Baotou Eighth Hospital， the Inner Mongolia Autonomous Region， Baotou 014010， China
[Abstract] Objective To explore the percutaneous vertebroplasty for osteoporotic vertebral compression fractures in the elderly， and to observe the effect on the clinical efficacy and the safety of medication. Methods 122 cases of osteoporotic vertebral compression fractures in the elderly cued in our hospital from February 2015 to December 2016 were selected as the experimental object. By using the random number table method， the senile osteoporotic vertebral compression fractures were randomly divided into control group (treataed with percutaneous kyphoplasty) and observation group (treated wiht percutaneous vertebroplasty). Operation effect and safety of the two groups were compared. Results The VAS score and Cobb angle of the observation group were better than those of the control group， and the elderly patients with osteoporotic vertebral compression fractures were extremely significant (P<0.05). The amount of bone cement injection and the time of clinical operation in the observation group were better than those in the control group， and the elderly patients with osteoporotic vertebral compression fractures were extremely significant (P<0.05). The extremity vein thrombosis and bedsore of observation group (3.28%) was lower than that of control group with (21.31%)， and the elderly osteoporotic vertebral compression fracture patients was extremely significant (P<0.05). Conclusion The treatment of osteoporotic vertebral compression fractures in the elderly is carried out with percutaneous vertebroplasty， and the methods of percutaneous kyphoplasty are compared. It can significantly reduce the extent of damage to the patient’s body， improve the patient’s VAS score and Cobb angle performance， and then it ensures the efficacy and safety of treatment of osteoporotic vertebral compression fractures in elderly patients have been significantly optimized., http://www.100md.com(武君麟?张福明?闫志清?李培龙?李猛)