文献类型：期刊文献

中文题名：手法复位联合经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折26例临床观察

英文题名：Clinical observation on manipulative reduction combining percutaneous kyphoplasty in treating 26 patients with osteoporotic vertebral compression fracture

作者：于海洋[1];徐克武[1];强胜林[1]

第一作者：于海洋

机构：[1]甘肃中医药大学附属医院创伤骨科,甘肃兰州730020

第一机构：甘肃中医药大学第二附属医院

年份：2016

卷号：33

期号：5

起止页码：40

中文期刊名：甘肃中医学院学报

外文期刊名：Journal of Gansu College of Traditional Chinese Medicine

语种：中文

中文关键词：骨质疏松性椎体压缩骨折;手法复位;经皮椎体后凸成形术;椎体高度;后凸畸形;骨水泥渗漏;临床观察

外文关键词：osteoporotic vertebral compression fracture;;manipulative reduction;;percutaneous kyphoplasty;;vertebral level;;kyphosis;;bone cement leakage;;clinical observation

摘要：目的观察手法复位联合经皮椎体后凸成形术(PKP)治疗骨质疏松性椎体压缩骨折(OVCF)的临床疗效。方法将52例OVCF患者随机分为2组,治疗组26例(病变椎体32个)采取手法复位联合PKP治疗,对照组26例(病变椎体30个)单纯采取PKP治疗,比较2组的骨水泥渗漏率、后凸畸形矫正率、视觉模拟评分法(VAS)评分、椎体高度压缩率及Cobb’s角。结果术后3 d治疗组骨水泥渗漏率为11.5%,对照组为26.9%,2组比较差异有统计意义(P<0.05);治疗组后凸畸形矫正率显著高于对照组,2组比较差异有统计意义(P<0.05)。术后2周、6月,2组VAS评分及椎体高度压缩率均较同组术前显著降低,Cobb’s角较同组术前显著减小,差异均有统计意义(P<0.05);术后2周、6月,治疗组椎体高度压缩率、Cobb’s角明显小于对照组,2组比较差异均有统计意义(P<0.05)。结论手法复位联合PKP在恢复OVCF患者椎体高度、矫正后凸畸形和减少骨水泥渗漏方面疗效满意,优于单纯PKP。
Objective To observe the efficacy of manipulative reduction combining percutaneous kyphoplasty( PKP) in treating osteoporotic vertebral compression fracture( OVCF). Methods 52 patients with OVCF were randomly divided into control group and treatment group,26 cases each. The treatment group( 32 diseased vertebras) was intervened with the manipulative reduction plus PKP. The control group( 30 diseased vertebras) was treated with PKP only. Rate of bone cement leakage,correction rate of kyphosis,VAS score,compression rate of vertebral level( VBH) and Cobb’s angles in both groups were compared. Results On 3rdday after treatment,rate of bone cement leakage in treatment group was 11. 5% and that in control group was 26. 9%,there was a significant difference( P<0.05). Correction rate of kyphosis in treatment group was much higher than that in control group,the difference was significant( P<0.05). On 2ndweek and 6thmonth after treatment,VAS scores,compression rates of VBH in both groups decreased more than that before treatment. Cobb’s angles in both groups also reduced much more,the difference was statistically significant( P < 0.05); compared with the control group,compression rates of VBH,Cobb’s angle in treatment group was lesser,there was a difference( P < 0.05). Conclusion The combined therapy has a good efficacy in returning to normal VBH,correcting kyphosis and reducing bone cement leakage. It is superior to the single PKP.