老年骨质疏松性压缩性骨折行PKP临床效果及术后随访
[摘要] 目的 探讨经皮椎体后凸成形术（PKP）治疗老年骨质疏松性压缩性骨折的临床效果。方法 选取我院于2013年12月～2015年3月骨科收治的老年骨质疏松性压缩性骨折患者56例，局部麻醉下行PKP治疗，记录并比较手术前后及末次随访时，患者的伤椎椎体高度、后凸角度、视觉模拟评分法（VAS）和Oswestry指标评分，比较术后1周及末次随访时，患者的并发症情况。 结果 56例患者术后1周和末次随访的伤椎椎体高度、后凸角度、VAS和Oswestry各项临床指标评测值均优于术前，差异具有统计学意义（P<0.05）。患者末次随访的并发症发生率为26.79%，明显高于术后1周的3.57%，差异具有统计学意义（P<0.05）。结论 作为治疗老年骨质疏松性压缩性骨折的一项微创外科手术，PKP具有操作简便、止痛效果佳、疗效好的优点，能有效矫正后凸畸形并恢复椎体高度，缓解患者的临床症状，其短期治疗效果值得肯定。
[关键词] 老年骨质疏松；压缩性骨折；经皮椎体后凸成形术；VAS
[中图分类号] R683 [文献标识码] A [文章编号] 2095-0616（2017）10-177-04
Clinical Effect and Postoperative Follow-up of Senile Osteoporotic Compression Fractures Undergoing PKP
FANG Lei CHEN Zihua LIU Dan CHEN Xinying YOU Jun
First Department of Orthopedics， Heyuan Hospital Affiliated to Jinan University， Heyuan 517000， China
[Abstract] Objective To explore clinical effect of penetrating keratoplasty（PKP） in treatment of senile osteoporotic compression fractures. Methods 56 patients with senile osteoporotic compression fractures who were admitted to department of orthopedics in our hospital from December 2013 to March 2015 were selected. They were given PKP under local anesthesia. The height of injured vertebrae， kyphosis angle， visual analogue scale（VAS） and Oswestry index score of patients in 1 week after operation and final follow-up were recorded and compared. Complications of 1 week after operation and final follow-up were compared. Results Evaluation values such as the height of injured vertebrae， ...
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