经皮椎体成形术与椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折的临床分析

摘要

Objective To explore percutaneous vertebroplasty ( PVP ) and percutaneous kyphoplasty ( PKP ) in the treatment of osteoporotic vertebral compression fractures, and improve the clinical efficacy. Methods We retrospectively analyzed 44 patients ( 53 vertebrae ) with osteoporotic vertebral compression fractures treated with PVP and 40 patients ( 48 vertebrae ) treated wotj PKP from 2009 to 2010 in our hospital. Results Visual Analogue Score ( VAS ) of PVP group and PKP group showed no significant difference before and after operation ( P >0.05 ), and the postoperative VAS was significantly decreased in both groups. The cost of treatment in PVP group was lower than that in PKP group. Bone cement leakage rate of PVP group was higher than that of PKP group. While it showed no significant difference in patients'satisfaction ( P >0.05 ). Conclusion PVP was more suitable for clinical treatment of osteoporotic vertebral compression fractures.%目的 探讨经皮椎体成形术(PVP)与椎体后凸成形术(PKP)治疗老年骨质疏松性椎体压缩性骨折的临床疗效和安全性,提高椎体压缩性骨折患者的临床疗效.方法 回顾性分析2009年至2010年行PVP治疗的44例(53个椎体)与PKP治疗的40例(48个椎体)骨质疏松性椎体压缩性骨折的治疗情况,对比观察行PVP治疗与PKP治疗后视觉模拟评分(VAS)、术后疗效以及患者的满意度、骨水泥渗漏率及治疗费用.结果 PVP组与PKP组患者的VAS评分在术前及术后均无统计学差异(P>0.05),而术后VAS评分均较术前明显下降,PVP组治疗费用较PKP组低,PVP组骨水泥渗漏率较PKP组高,而两组在患者满意度方面无统计学差异(P>0.05).结论 PVP更适宜作为临床治疗老年骨质疏松性椎体压缩性骨折的首选方式.