曾庆虎;彭成忠;吴财;王乐乐;廖涛;曾钊;张勇军;

• 1:湖南师范大学附属湘东医院骨科

摘要(Abstract)：

[目的]比较椎体成形术(PVP)后邻近椎体新发骨折保守治疗与再次PVP的疗效。[方法]回顾性研究2015年8月～2018年8月在本院骨科因骨质疏松性椎体压缩骨折行PVP术后95例邻近椎体新发骨折的患者,采用保守治疗32例,PVP再手术63例,采用VAS和ODI评分评价临床效果,拍摄X线片,测量局部后凸Cobb角和椎体前缘压缩比。[结果]随时间推移,两组患者的VAS评分及ODI指数均显著降低(P<0.05)。治疗前两组患者间VAS和ODI评分的差异均无统计学意义(P>0.05);治疗后1周和1个月时,手术组的VAS和ODI评分均显著低于保守组,差异有统计学意义(P<0.05);治疗后3、6个月时,手术组的VAS和ODI评分仍均低于保守组,但差异已无统计学意义(P>0.05)。保守组患者治疗前后局部后凸Cobb角和椎体前缘压缩率无显著变化(P>0.05);手术组术后各时间点局部后凸Cobb角和椎体前缘压缩率均较术前显著减少,差异有统计学(P<0.05)。治疗前两组间局部后凸Cobb角和椎体前缘压缩率的差异均无统计学意义(P>0.05),而治疗后各时间点,手术组的局部后凸Cobb角和椎体前缘压缩率均显著小于保守组(P<0.05)。[结论]与保守治疗相比,再次PVP手术治疗可更有效、迅速恢复经皮椎体成形术后邻近椎体新发骨折患者自主生活能力,并能够一定程度纠正脊柱后凸畸形,恢复脊柱力线。

关键词(KeyWords)： 骨质疏松性椎骨压缩骨折(OVCFs);经皮椎体成形术(PVP);邻近椎体新发骨折;保守治疗

Abstract:

Keywords:

基金项目(Foundation): 湖南省教育厅一般基金项目(编号：12C0207)

作者(Author): 曾庆虎;彭成忠;吴财;王乐乐;廖涛;曾钊;张勇军;

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参考文献(References)：

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