探究老年骨质疏松性胸腰椎压缩骨折的微创治疗

To Explore the Minimally Invasive Treatment of Osteoporotic Thoracolumbar Compression Fractures in the Elderly

摘要: 目的：探究老年骨质疏松性胸腰椎压缩骨折的微创治疗效果。方法：选取我院2012年12月~2020年6月收治的骨质疏松性胸腰椎压缩骨折患者150例，根据不同椎体成形手术方式的不同分成PVP组、PKP组和手法PVP组，PVP组采取经皮椎体成形术治疗，PKP组采取经皮球囊扩张椎体后凸成形术治疗，手法PVP组采取手法复位经皮椎体成形术治疗，比较3组治疗效果。结果：PVP组、PKP组、手法PVP组术后VAS评分均低于术前，分别为(2.13 ± 0.80)、(2.10 ± 0.75)、(2.02 ± 0.85)，P < 0.05。3组术后Cobb角情况均优于术前(P < 0.05)。术后Cobb角最小是PKP组，最大是PVP组(P < 0.05)。后凸畸形矫正率最高的是PKP组，PVP组最低(P < 0.05)。PVP组手术时间(28.66 ± 5.75) min，PKP组手术时间(47.97 ± 8.94) min，手法PVP组手术时间(42.63 ± 6.56) min，P < 0.05。结论：微创手术治疗骨质疏松症的要点在于适宜的手术方法选择，利用适宜的微创手术方法可以收到满意的治疗效果。

Abstract: Objective: To explore the osteoporotic vertebral compression fractures minimally invasive treatment. Methods: In our hospital, osteoporotic vertebral compression fractures were 150 cases, depending on the different surgical methods vertebroplasty group into PVP, PKP group and group practices PVP, PVP group take Percutaneous vertebroplasty treatment, PKP group took percutaneous balloon kyphoplasty treatment, manipulation PVP group take manual reduction percutaneous vertebroplasty treatment compared three groups of treatment. Result: The postoperative VAS scores of PVP group, PKP group and manual PVP group were all lower than those before operation, (2.13 ± 0.80), (2.10 ± 0.75), (2.02 ± 0.85) respectively, P < 0.05. The condition of Cobb Angle after operation in all 3 groups was better than before operation (P < 0.05), The minimum Cobb Angle was in PKP group and the maximum was in PVP group (P < 0.05), the correction rate of kyphosis was the highest in PKP group and the lowest in PVP group (P < 0.05), the operative time of PVP group was (28.66 ± 5.75) min, PKP group was (47.97 ± 8.94) min, and manual PVP group was (42.63 ± 6.56) min, P < 0.05. Conclusion: Minimally invasive surgery Osteoporosis point is that appropriate surgical method is chosen, the appropriate use of minimally invasive surgical method can receive a satisfactory therapeutic effect.