经皮椎体成形术和保守疗法治疗老年骨质疏松性胸腰椎压缩性骨折的临床效果对比分析

刘德坚

【摘要】 目的：评价经皮椎体成形术和保守疗法治疗老年骨质疏松性胸腰椎压缩性骨折的临床效果。方法：纳入102例老年骨质疏松性胸腰椎压缩性骨折患者，随机分为手术组和保守组，对手术组实施经皮椎体成形术治疗，对保守组实施保守治疗。结果：两组患者治疗前VAS评分、Cobbs角、椎体前缘高度比较差异均无统计学意义（P>0.05），手术组术后3、6个月VAS评分均低于保守组，Cobbs角均小于保守组，伤椎前缘高度均高于保守组，差异均有统计学意义（P<0.05）。结论：与保守疗法比较，经皮椎体成形术治疗老年骨质疏松性胸腰椎压缩性骨折，能够更加迅速地缓解患者机体痛苦，获得更可靠的整体疗效。

【关键词】 骨质疏松性胸腰椎压缩性骨折; 经皮椎体成形术; Cobbs角; VAS评分

doi：10.14033/j.cnki.cfmr.2019.16.055 文献标识码 B 文章编号 1674-6805（2019）16-0-03

【Abstract】 Objective：To evaluate the clinical efficacy of percutaneous vertebroplasty and conservative treatment in the treatment of senile osteoporotic thoracolumbar vertebral compression fractures.Method：A total of 102 elderly patients with osteoporotic thoracolumbar vertebral compression fractures were randomly divided into surgery group and conservative group.Percutaneous vertebroplasty was performed in the operation group，and conservative treatment was performed in the conservative group.Result：There were no significant differences in the VAS score，Cobbs angle，and vertebral body height between the two groups before treatment（P>0.05）.The VAS scores of the operation group were lower than that of the conservative group（P<0.05），and the Cobbs angle was smaller than the conservative group（P<0.05）.The height of the injured front was higher than that of the conservative group（P<0.05）.Conclusion：Compared with conservative treatment，percutaneous vertebroplasty for the treatment of senile osteoporotic thoracolumbar vertebral compression fractures can more quickly alleviate the patients body pain and obtain a more reliable overall effect.

【Key words】 Osteoporotic thoracolumbar vertebral compression fracture; Percutaneous vertebroplasty; Cobbs angle; VAS score

First-authors address：Panyu Traditional Chinese Medicine Hospital of Guangzhou City，Guangzhou 511400，China

手術为治疗腰椎压缩性骨折的有效方法。老年骨质疏松性胸腰椎压缩性骨折患者由于身体各项机能明显衰退，对手术的耐受性较差，故较大一部分患者在发病后选择接受保守治疗[1]。经皮椎体成形术是一种微创脊髓外科技术，近年来也在骨质疏松性胸腰椎压缩性骨折的临床治疗中得到应用[2]。为明确经皮椎体成形术和保守疗法治疗老年骨质疏松性胸腰椎压缩性骨折的临床疗效，指导临床合理选择该类型骨折的治疗方式，笔者所在医院选取2016年9月-2017年12月收治的102例老年骨质疏松性胸腰椎压缩性骨折患者作为研究对象开展本次研究，现进行以下汇报。

1 资料与方法

1.1 一般资料

纳入笔者所在医院2016年9月-2017年12月收治的102例老年骨质疏松性胸腰椎压缩性骨折患者作为研究对象。纳入标准：（1）年龄>60岁;（2）经骨科常规检查和影像学检查确诊为质疏松性胸腰椎压缩性骨折;（3）无手术治疗禁忌证。排除标……