目的 对比单、双侧经皮穿刺椎体成形术治疗老年胸腰椎压缩骨折的临床疗效.方法 将同期收治的67例骨质疏松性胸腰椎压缩骨折患者随机分为单侧组30例,双侧组37例,分别行单侧及双侧治疗,观察两组手术时间、X线透视次数、骨水泥注入量、视觉模拟疼痛评分、改善率、疗效及并发症发生情况.结果 两组改善率及有效率均无显著差异,双侧组手术时间、透视次数及骨水泥用量均显著大于单侧组(P＜0.05):两组均无脊髓神经损伤、肺栓塞等并发症发生.结论 单、双侧治疗骨质疏松性胸腰椎压缩骨折均可取得满意疗效,但前者具有手术时间短,放射暴露少,骨水泥用量小等优点.%Objective To compare clinical efficacy unilateral and bilateral percutaneous balloon kyphoplasty for aged patients with thoracolumbar vertebral compression fractures. Methods 67 patients with osteoporotic thoracolumbar vertebral compression fractures and the same period treated were randomly divided into unilateral group ( 30 cases) which received unilateral percutaneous balloon kyphoplasty and bilateral group ( 37 cases) which received bilateral percutaneous balloon kyphoplasty. Operation time, X-ray the number of bone cement injection, visual analog pain score, improvement rate, efficacy and complications were observed between unilateral group and bilateral group. Results There were not significantly different to improve ameliorate and efficient rate, but operative time, fluoroscopy times and bone cement volume in the bilateral group was significantly greater than it in the unilateral group ( P ＜ 0. 05 ). There were not complications spinal cord injury, pulmonary embolism, etc. Conclusion The therapy of unilateral and bilateral percutaneous balloon kyphoplasty can achieve a satisfactory therapeutic effect for older patients with thoracolumbar vertebral compression fractures, but the former has the advantages of a shorter operative time, less radiation exposure and a small amount of bone cement.
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