PKP 与 PVP 对骨质疏松性椎体压缩性骨折 患者椎体功能的影响

刘纪涛 1 ，陶军 2 ，代文杰 1

1.陕西省汉中市人民医院骨一科，陕西 汉中，723000；2.南昌大学第二附属医院骨科，江西 南昌，330006

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摘要：

目的 探讨经皮椎体后凸成形术（PKP）联合椎体成形术（PVP）对胸腰椎多节段骨质疏松性椎体压缩性骨折患者椎体功能的影响。方法 选取我院收治的胸腰椎多节段骨质疏松性椎体压缩性骨折患者 65例，依据入院顺序分为研究组（35例）及参照组（30例），研究组给予 PKP+PVP 治疗，参照组给予单纯 PVP 治疗，评价两组临床疗效。结果 术后 1周，研究组 VAS评分及 Cobb角度明显低于参照组（P＜0.05）。研究组术后 1周、6个月及 1年的 Oswestry评分均低于对照组（P＜0.05）。结论 PKP联合 PVP 治疗胸腰椎多节段骨质疏松性椎体压缩性骨折具有显著效果，不仅可帮助患者缓解疼痛，还可减轻椎体功能障碍。

关键词： PKP；PVP；胸腰椎；骨质疏松；椎体压缩性骨折

中图分类号：R687.3文献标志码：A文章编号： 2096-1413(2018)09-0058-02

Effect of PKP and PVP on vertebral function in patients with
osteoporotic vertebral compression fractures


LIU Ji-tao 1 ,TAO Jun 2 ,DAIW en-jie 1
(1.No.1 Orthope dics Department, Hanzhong People's Hospital,Hanzhong 723000;2. Orthope dics Department,
the Second Affiliated Hospital of Nanchang University,Nanchang 330006,China)



ABSTRACT: Objective To investigate the effect of percutaneous kyphoplasty (PKP) and percutaneous vertebroplasty(PVP) on vertebral function in patients with multi-segment osteoporotic vertebral compression fractures of thoracolumbar spine. Methods Sixty-five cases of patients with multi-segment osteoporotic vertebral compression fractures of thoracolumbar spine admitted in our hospital were selected and divided into study group (35 cases)and reference group (30 cases).The study group was given PKP+PVP treatment,while the reference group was given pure PVP treatment,the clinical effects of the two groups were evaluated. Results One week after operation,the VAS score and Cobb angle ofthe study group were significantly lower than those of the reference group (P<0.05). The Oswestry scores of the study group at1 week,6 months and 1 year after operation were lower than those of the reference group (P<0.05).Conclusion PKP combined with PVP in the treatment of multi-segment osteoporotic vertebral compression fractures of thoracolumbar spine has significant effect,it can not only help patients relievepain,but also reduce vertebral dysfunction.
KEYWORDS: percutaneous kyphoplasty (PKP); percutaneous vertebroplasty (PVP); thoracolumbar; osteoporosis; vertebral compressibility fractures



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