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术前过伸复位联合经皮椎体成形术治疗胸腰椎骨折的效果

材料写作网    时间: 2021-09-12 04:07:35     阅读:次     手机站


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[摘要]目的 探讨骨质疏松性胸腰椎骨折(OVCF)采用术前过伸复位与经皮椎体成形术(PVP)联合方案治疗的效果。方法 选择2015年8月~2018年8月我院收治的87例OVCF患者作为研究对象,按照随机数字表法分为对照组(43例)和观察组(44例)。对照组采用术前过伸复位,观察组采用术前过伸复位与PVP联合治疗。观察两组的术前、术后不同时点疼痛、病变椎体前缘高度等指标变化情况。结果 观察组术前的视觉模拟量表(VAS)评分、椎体前缘高度、Cobb角、Oswsetry功能障碍指数量表(ODI)评分与对照组比较,差异无统计学意义(P>0.05);观察组术后1个月VAS评分、椎体前缘高度、Cobb角低于对照组,ODI评分高于对照组,差异有统计学意义(P<0.05)。两组均无骨水泥椎管内渗漏、肺栓塞等并发症率发生,无死亡病例。结论 对临床收治的OVCF患者,应用术前过伸复位与PVP联合方案治疗,可显著缓解疼痛,促使椎体高度及形态恢复,改善腰椎功能,具有较高的临床应用价值。

[关键词]骨质疏松性;胸腰椎压缩骨折;术前过伸复位;经皮椎体成形术

[中图分类号] R683.2 [文献标识码] A [文章编号] 1674-4721(2019)8(a)-0089-03

[Abstract] Objective To investigate the effect of preoperative hyperextension reduction and percutaneous vertebroplasty(PVP) in the treatment of osteoporotic thoracolumbar fractures (OVCF). Methods From August 2015 to August 2018, 87 patients with OVCF in our hospital were selected as subjects and divided into the control group (43 cases) and the observation group (44 cases) according to random number table method. The control group was treated with preoperative overextension reduction, while the observation group was treated with the combination of preoperative hyperextension reduction and PVP. The changes of pain and the height of the anterior edge of the vertebral body were observed before and after ...



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