[1]董学亮 倪飞 张政宏 黄海 成羿.胸腰椎压缩性骨折保守治疗同PKP术治疗的比较[J].中国中医骨伤科杂志,2016,24(02):29-32.
　DONG Xueliang NI Fei ZHANG Zhenghong HUANG Hai CHENG Yi.Comparison of Conservative Treatment and Percutaneous Kyphoplasty in Patients with Thoracolumbar Vertebral Compression Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(02):29-32.
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胸腰椎压缩性骨折保守治疗同PKP术治疗的比较
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年02期
页码:
29-32
栏目:
临床研究
出版日期:
2016-02-14

文章信息/Info

Title:
Comparison of Conservative Treatment and Percutaneous Kyphoplasty in Patients with Thoracolumbar Vertebral Compression Fractures
文章编号:
1005-0205(2016)02-0029-04
作者:
董学亮1 倪飞1 张政宏1 黄海1 成羿1
1.浙江省杭州市中医院(杭州,310007)
Author(s):
DONG Xueliang1 NI Fei1 ZHANG Zhenghong1 HUANG Hai1 CHENG Yi1
1.Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou 310007,China.
关键词:
老年患者;  椎体压缩性骨折;  保守治疗;  经皮椎体后凸球囊扩张成形术(PKP)
Keywords:
elderly patients;  vertebral compression fractures;  conservative treatment;  percutaneous kyphoplasty
分类号:
R683.2
文献标志码:
A
摘要:
目的:通过分析保守治疗和经皮椎体后凸球囊扩张成形术(Percutaneous Kyphoplasty,PKP)治疗的差异,从而为老年胸腰椎压缩性骨折患者选择治疗方案提供依据。方法:选取2012年 7 月至 2014 年 2 月期间前往本院骨伤科住院治疗的老年胸腰椎压缩性骨折患者184例,采用自愿选择治疗方案分组,分老年胸腰椎骨折保守治疗组64例,老年胸腰椎骨折PKP组120例。记录患者性别、年龄、VAS评分、ODI评分、JOA评分及后凸 Cobb 角、绝对卧床天数、随访1年内再发椎体压缩性骨折例数。结果:两个治疗组VAS,JOA,ODI评分比较,术前、术后3个月、术后1年两组间比较差异无统计学意义(P>0.05); 而术后1天、术后1个月两组间比较差异有统计学意义,PKP组优于保守组(P<0.01)。两个治疗组Cobb角比较,术后4个时间点两组间比较PKP组低于保守组(P<0.01),术前两组间比较差异无统计学意义(P>0.05)。绝对卧床时间比较,PKP组明显少于保守治疗组(P<0.01)。结论:胸腰椎压缩性骨折保守治疗和PKP手术治疗的选择,若无绝对手术禁忌症,优先推荐行PKP手术治疗。
Abstract:
Objective: To provide possible treatment options for elderly patients with thoracolumbar compression fractures by analyzing the difference berween conservative treatment and percutaneous kyphoplasty(PKP)treatment.Methods:From July 2012 to February 2014,184 elderly patients with thoracolumbar compression fracture were treated in our hospitals.All patients were divided into the conservative treatment group(64 cases)and PKP group(120 cases)through voluntary treatment option.The patient gender,age,VAS score,ODIscore,JOA score,Cobb's angle,absolute bed time and recurrence cases within one year follow-up was recorded.Results:The comparison of VAS,JOA,ODI scores before operation,three months after operation and 1 year after operation between the two groups showed no statisically significant(P>0.05); But the comparison one day and one month after operative between the two groups showed statisically significant,the PKP group was the better(P<0.01).The cobb angle postoperative in the PKP group was lower than that in the conservative group(P<0.01),while there was not statistically significant preoperative(P>0.05).The absolute bed time in PKP group was significantly less than that in the conservative treatment group(P<0.01).Conclusion:In patients with thoracolumbar compression fractures,PKP operation is preferred rather than conservative treatment if there is no absolute operation contraindications.

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备注/Memo

备注/Memo:
收稿日期:2015-07-07
更新日期/Last Update: 2016-02-02