PKP和PVP单侧入路治疗老年骨质疏松性椎体压缩性骨折的疗效比较Comparison of the efficacies of percutaneous kyphoplasty and percutaneous vertebroplasty using the unipedicular approach for the treatment of osteoporotic vertebral compression fracture
陈建常;梁景灏;马在松;
摘要(Abstract):
[目的]比较椎体后凸成形术(percutaneous kyphoplasty,PKP)和椎体成形术(percutaneous vertebroplasty,PVP)治疗老年骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fractures,OVCFs)的临床疗效。[方法]收集本院2010年1月~2012年1月采用PKP和PVP单侧入路治疗老年骨质疏松性椎体压缩性骨折患者61例,按治疗方法的不同将其分为PKP组和PVP组。比较两组手术时间、透视次数、骨水泥用量、住院天数、手术前后VAS、ODI评分,椎体相对高度恢复及并发症发生情况。[结果]平均随访12个月,两组术前临床一般资料比较无统计学差异(P>0.05);两组术后VAS、ODI评分,椎体相对高度均较术前有明显改善(P<0.05);PKP组的手术时间、透视次数多于PVP组,但术后椎体相对高度恢复好于PVP组(P<0.05);骨水泥量,住院天数,术后VAS、ODI评分,骨水泥渗漏发生率两组无统计学差异(P>0.05);两组均未发现邻近椎体再骨折。[结论]PKP与PVP单侧入路治疗老年骨质疏松性椎体压缩性骨折均有明显疗效,且效果相当,PKP术后椎体相对高度恢复好于PVP,但手术时间、透视次数要多于PVP组。
关键词(KeyWords): 骨质疏松症;椎体骨折;椎体后凸成形术;椎体成形术;疗效
基金项目(Foundation):
作者(Author): 陈建常;梁景灏;马在松;
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参考文献(References):
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