经皮椎体成形骨水泥注入治疗老年脊椎骨质疏松压缩性骨折的疗效观察

肖贤君

摘要：目的 探讨经皮椎体成形骨水泥注入治疗老年脊椎骨质疏松压缩性骨折的疗效。方法 将我院收治的114例老年脊椎骨质疏松压缩性骨折患者随机分为两组。对照组57例给予保守疗法，而试验组57例给予经皮椎体成形骨水泥注入治疗。比较两组患者临床疗效及VAS评分的差异。结果 试验组患者临床优良率为96.50%显著高于对照组82.50%，比较具有统计学差异（P<0.05）；治疗后1 w、治疗后1个月试验组患者VAS评分显著降低，其也低于同期对照组，比较具有统计学差异（P<0.05）。结论 经皮椎体成形骨水泥注入治疗老年脊椎骨质疏松压缩性骨折效果佳，其具有较高的临床优良率，明显缓解疼痛症状，进而提高患者生存质量及身心健康，值得临床选择。

关键词：经皮椎体成形；老年；脊椎骨质疏松；压缩性骨折

中图分类号：R678.3 文献标识码：A 文章编号：1006-1959（2017）16-0048-02

Therapeutic Effect of Percutaneous Vertebroplasty Bone Cement on the Treatment of Osteoporotic Compression Fractures in the Elderly

XIAO Xian-jun

（Department of Surgery，Yibin Health School，Yibin 644000，Sichuan，China）

Abstract：Objective To investigate the effect of percutaneous vertebroplasty with bone cement for treatment of senile osteoporotic vertebral compression fractures.Methods In our hospital 114 cases of elderly osteoporotic compression fracture were randomly divided into two groups.57 cases in control group were given conservative treatment，and 57 cases in experimental group were given percutaneous vertebroplasty with bone cement treatment.The differences of clinical efficacy and VAS score between the two groups were compared.Results The clinical excellent and good rate of the experimental group was 96.50%，significantly higher than that of the control group 82.50%，and the difference was statistically significant（P<0.05）；After 1 w and 1 months after treatment，the VAS score of the experimental group decreased significantly，and it was lower than that of the control group at the same time，there was a statistical difference（P<0.05）.Conclusion Percutaneous vertebroplasty bone cement injection for the treatment of osteoporotic fractures of the elderly is good，it has a high clinical excellent rate，significantly relieve pain symptoms，thereby improving the quality of life and physical and mental health，worthy of clinical choice.

Key words：Percutaneous vertebroplasty；Senile；Vertebral osteoporosis；Compression fractures

骨質疏松症是老年人群的常见病，随着老龄化的加剧，其发病率呈逐年上升的趋势，而骨质疏松症引起的脊椎压缩性骨折也较为多见[1-2]，严重影响患者生存质量及身心健康，而保守治疗效果常不理想，经皮椎体成形术常用于治疗该疾病。本研究观察经皮椎体成形骨水泥注入治疗老年脊椎骨质疏松压缩性骨折的疗效，现汇报如下。

1 资料与方法

1.1一般资料

选择2013年1月～2016年9月我院收治的114例老年脊椎骨质疏松压缩性骨折患者随机分为两组。试验组57例，男24例，女33例；年龄60～81岁，平均年龄（66.3±5.8）岁；病程1月～1.2年，平均病程 （0.4±0.2）年；对照组57例，男22例，女35例；年龄61～83岁，平均年龄（66.3±5.6）岁；病程1月～1.3年，平均病程（0.4±0.1）年；入选标准：①年龄≥60岁；②骨质疏松病史；③患者签署治疗知情同意书；④患者均符合脊椎压缩性骨折的诊断标准[3]；⑤无严重脏器功能衰竭者。排除标准：①骨肿瘤所致的病理性骨折者；②椎体骨折伴有脊髓损伤；③未签署治疗知情同意书者；④凝血功能障碍者；……