椎体后凸成形术与保守疗法治疗骨质疏松性脊柱骨折的效果观察
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摘要
目的探讨椎体后凸成形术与保守疗法治疗骨质疏松性脊柱骨折的临床疗效。方法回顾性分析2010年9月—2012年1月我院72例骨质疏松性脊柱骨折患者的临床资料,将并将其随机平均分为对照组和研究组,对照组36例患者行常规保守疗法治疗,研究组36例患者行椎体后凸成形术治疗,比较两组患者的临床治疗效果,随访5年后,比较两组患者的再骨折率。结果研究组患者术后Cobb角以及椎体前缘高度恢复情况优于对照组(P<0.05);随访5年后,研究组骨折再发生率低于对照组,两组比较,差异有统计学意义(P<0.05)。结论椎体后凸成形术能有效的改善患者的Cobb角以及椎体前缘高度,减轻疼痛,减低再骨折率。
Objective To explore the clinical effect ofpercutaneous kyphoplasty and conservative therapy for osteoporotic vertebral fracture. Methods 72 cases with osteoporotic vertebral fracture from September 2010 to January 2012 were selected and divided into control group(n =36) and research group(n =36) randomly. The control group was taken conservative therapy and the research group was taken percutaneous kyphoplasty. After 5-year follow up, the refracture rate were compared. Results After treatment, the recovery of cobb's angle and vertebral height in research group were better than control group(P < 0.05). After treatment, the refracture rate in research group was lower than control group(P < 0.05). Conclusion Percutaneous kyphoplasty can improve the cobb's angle and vertebral height, alleviate pain and reduce refracture rate of osteoporotic vertebral fracture patients effectively.
Objective To explore the clinical effect ofpercutaneous kyphoplasty and conservative therapy for osteoporotic vertebral fracture. Methods 72 cases with osteoporotic vertebral fracture from September 2010 to January 2012 were selected and divided into control group(n =36) and research group(n =36) randomly. The control group was taken conservative therapy and the research group was taken percutaneous kyphoplasty. After 5-year follow up, the refracture rate were compared. Results After treatment, the recovery of cobb's angle and vertebral height in research group were better than control group(P < 0.05). After treatment, the refracture rate in research group was lower than control group(P < 0.05). Conclusion Percutaneous kyphoplasty can improve the cobb's angle and vertebral height, alleviate pain and reduce refracture rate of osteoporotic vertebral fracture patients effectively.
引文
[1]高壮松.椎体后凸成形术与保守治疗骨质疏松性脊柱骨折的对比研究[J].中国农村卫生,2016,45(18):8,10.
[2]乔伟,张志士.椎体后凸成形术与保守治疗骨质疏松性脊柱骨折的对比研究[J].世界最新医学信息文摘(连续型电子期刊),2016,16(77):84-85.
[3]周亮.椎体后凸成形术与保守治疗骨质疏松性脊柱骨折的对比研究[J].中国处方药,2016,14(8):113-114.
[4]Lamy O,Uebelhart B,Aubry-Rozier B.Risks and benefits of percutaneous vertebroplasty or kyphoplasty in the management of osteoporotic vertebral fractures[J].Osteoporos Int,2014,25(3):807-819.
[5]Yang Z,Tan J,Zhao R,et al.Clinical investigations on the spinal osteoblastic metastasis treated by combination of percutaneous vertebroplasty and(125)I seeds implantation versus radiotherapy.[J].Cancer Biotherapy&Radiopharmaceuticals,2012,28(1):58-64.
[6]任飞,王福平,杜向东.骨质疏松性脊柱骨折应用椎体后凸成形术与保守治疗的效果比较分析[J].中国医药导刊,2016,18(9):904-905.
[7]宋义博,孟昭磊,辛跃.椎体后凸成形术治疗骨质疏松性脊柱骨折的临床疗效[J].中国继续医学教育,2016,8(23):98-100.
[8]周梦雷.椎体后凸成形术治疗骨质疏松性脊柱骨折的临床效果[J].中国当代医药,2014,21(35):21-22,25.
[2]乔伟,张志士.椎体后凸成形术与保守治疗骨质疏松性脊柱骨折的对比研究[J].世界最新医学信息文摘(连续型电子期刊),2016,16(77):84-85.
[3]周亮.椎体后凸成形术与保守治疗骨质疏松性脊柱骨折的对比研究[J].中国处方药,2016,14(8):113-114.
[4]Lamy O,Uebelhart B,Aubry-Rozier B.Risks and benefits of percutaneous vertebroplasty or kyphoplasty in the management of osteoporotic vertebral fractures[J].Osteoporos Int,2014,25(3):807-819.
[5]Yang Z,Tan J,Zhao R,et al.Clinical investigations on the spinal osteoblastic metastasis treated by combination of percutaneous vertebroplasty and(125)I seeds implantation versus radiotherapy.[J].Cancer Biotherapy&Radiopharmaceuticals,2012,28(1):58-64.
[6]任飞,王福平,杜向东.骨质疏松性脊柱骨折应用椎体后凸成形术与保守治疗的效果比较分析[J].中国医药导刊,2016,18(9):904-905.
[7]宋义博,孟昭磊,辛跃.椎体后凸成形术治疗骨质疏松性脊柱骨折的临床疗效[J].中国继续医学教育,2016,8(23):98-100.
[8]周梦雷.椎体后凸成形术治疗骨质疏松性脊柱骨折的临床效果[J].中国当代医药,2014,21(35):21-22,25.