贵州医科大学学报

2015, v.40;No.183(12) 1381-1383

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经皮椎体成形术联合后凸成形术治疗绝经期骨质疏松性椎体压缩骨折的疗效
The Curative Effect of Percutaneous Vertebroplasty Combined with Kyphoplasty on Osteoporotic Vertebral Compression Fractures in Menopause

张悦;李兴;
ZHANG Yue;LI Xing;Department of Medical Image,Guizhou Medical University;

摘要(Abstract):

目的:探讨经皮椎体成形术联合后凸成形术治疗绝经期妇女骨质疏松性椎体压缩骨折的临床疗效。方法:骨质疏松性椎体压缩骨折绝经患者82例,均分为对照组和观察组,对照组为保守治疗,观察组采用经皮椎体成形术联合后凸成形术治疗,比较两组患者治疗前、治疗后半月及半年的椎体后凸Cobb角与VAS疼痛评分情况。结果:治疗前,两组患者的椎体后凸Cobb角和疼痛评分比较,差异无统计学意义(P>0.05),治疗后,观察组的椎体后凸Cobb角改善情况和疼痛改善效果明显优于对照组,差异有统计学意义(P<0.05)。结论:经皮椎体成形术联合凸成形术治疗绝经期妇女骨质疏松性椎体压缩骨折效果优于保守治疗,值得临床推广应用。
Objective: To explore the curative effect of percutaneous vertebroplasty combined with kyphoplasty on osteoporotic vertebral compression fractures in menopause. Methods: A total of 82 cases of patients with osteoporotic vertebral compression fractures in menopause hospitalized during the period from February,2013 to February,2014 were divided into observation group( 41 cases) and control group( 41 cases). The conservative treatment was adopted in control group while percutaneous vertebroplasty combined with kyphoplasty was adopted in observation group. Kyphosis cobb angle and visual analogy score( VAS) between observation group and control group were compared at following time points: before treatment,15 days after treatment and half a year after treatment. Results: Before treatment,there was no siginificant difference in Kyphosis cobb angle and VAS between observation group and control group( P > 0. 05). After treatment,Kyphosis cobb angle and VAS in observation group was better improved than in control group,and the differences were statistically significant.Conclusion: The curative effect of percutaneous vertebroplasty combined with kyphoplasty on osteoporotic vertebral compression fractures in menopause is better than that of conservative treatment and deserve clinical popularization and application.

关键词(KeyWords): 经皮椎体成形术;后凸成形术;妇女;骨质疏松,绝经后;骨质疏松性椎体压缩骨折
percutaneous vertebroplasty;kyphoplasty;women;osteoporosis,post-menopause;osteoporotic vertebral compression fractures

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作者(Author): 张悦;李兴;
ZHANG Yue;LI Xing;Department of Medical Image,Guizhou Medical University;

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DOI: 10.19367/j.cnki.1000-2707.2015.12.025

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