PKP 和PVP治疗骨质疏松性椎体压缩骨折临床疗效的初步探讨

辛梦玺，马宁强

（杨凌示范区医院，陕西 咸阳，712100）

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摘要：

目的 探讨经皮球囊扩张椎体后凸成形术（PKP）和经皮椎体成形术（PVP）治疗骨质疏松性椎体压缩骨折的临床疗效。 方法 选取在本院确诊为骨质疏松性压缩骨折患者98例，随机分为PKP组（53 例）和PVP组（45 例），分别采用PKP和PVP治疗。对比分析两组患者术前、术后1月及术后1年的VAS评分、椎体高度和椎体后凸Cobb 角。结果 PKP组患者术后1月 及1年VAS评分、椎体高度和椎体后凸Cobb角较术前均明显改善（P<0.01）；PVP组术后1 月及1 年的VAS评分较术前明显改善（P<0.01）。PKP组术后1 年的VAS评分明显低于PVP组（P<0.01），术后1 月及1 年的椎体高度和椎体后凸Cobb 角明显优于PVP 组（P<0.01）。结论 PKP 和PVP 治疗骨质疏松性椎体压缩骨折的近期疼痛缓解效果良好，而PKP在椎体高度恢 复、后凸畸形矫正及远期疼痛症状缓解方面优势更加显著。

关键词：PKP；PVP；骨质疏松；椎体压缩骨折

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2017)21-0080-02

Preliminary study on the clinical efficacy of PKP and PVP in the treatment of osteoporotic vertebral compression fractures
XIN Meng-xi, MA Ning-qiang
(Yangling Demonstraction Zone Hospital, Xianyang 712100, China)

ABSTRACT: Objective To investigate the efficacy of percutaneous balloon kyphoplasty (PKP) and percutaneous vertebroplasty (PVP) in the treatment of osteoporotic vertebral compression fractures. Methods Ninty-eight patients with osteoporotic compression fractures diagnosed in our hospital were selected and randomly divided into PKP group (n=53) and PVP group (n=45), and they used PKP and PVP respectively. The VAS score, vertebral height and vertebral kyphosis Cobb angle were measured before operation, 1 month after operation and 1 year after operation. Results The VAS score, vertebral height and kyphotic angle of Cobb in the PKP group significantly improved at 1 month and 1 year after operation (P<0.01). In the PVP group, the VAS scores at 1 month and 1 year after operation significantly improved (P<0.01). The VAS score of the PKP group at 1 year after operation was significantly lower than that of PVP group (P<0.01), and the vertebral height and vertebral kyphosis Cobb angle at 1 month and 1 year after operation were significantly better than those in the PVP group (P<0.01). Conclusion Although both PKP and PVP had benifical efficacy in alleviating short-time pain for patients with osteoporotic vertebral compression fracture, PKP treatment is a more effective treatment in vertebral height recovery, kyphosis correction and long-term pain relief.
KEYWORDS: PKP; PVP; osteoporosis; vertebral compression fracture

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