椎体成形术和传统开放性手术治疗脊柱压缩骨折的效果对比(1)
[摘要]目的 探讨椎体成形术和传统开放性手术治疗脊柱压缩骨折的效果。方法 选取2013年3月～2015年10月在我院住院治疗的140例脊柱压缩骨折患者，根据平均分配法分为对照组和研究组，各70例。对照组采用传统开放性手术治疗，研究组采用椎体成形术治疗。比较两组的手术情况、术后住院时间、疼痛评分(VAS量表)和局部Cobb角(脊椎侧围X线片测定)。结果 研究组的术中出血量少于对照组，术后住院时间显著短于对照组，差异有统计学意义(P<0.05)。两组术后1 d、术后1个月的疼痛评分显著低于治疗前，差异有统计学意义(P<0.05)。观察组术后1 d、术后1个月的疼痛评分显著低于对照组，差异有统计学意义(P<0.05)。两组术后7 d与术后1个月的局部Cobb角显著小于治疗前，差异有统计学意义(P<0.05)。研究组术后7 d与术后1个月的局部Cobb角显著小于对照组，差异有统计学意义(P<0.05)。结论 椎体成形术应用于脊柱压缩骨折患者能有效改善局部Cobb角，缓解疼痛程度，减少住院时间，对于患者的手术创伤和并发症较少，值得临床推广应用。
[关键词]椎体成形术；脊柱压缩骨折；脊椎；疼痛
[中图分类号] R683.2 [文献标识码] A [文章编号] 1674-4721(2017)08(a)-0090-03
[Abstract]Objective To explore the effect of vertebroplasty and traditional open surgery in the treatment of spinal compression fractures.Methods 140 patients with spinal compression fractures were enrolled in our hospital from March 2013 to October 2015.They were evenly divided into the control group and the research group according to the average distribution method，70 cases in each group.The control group was treated with traditional open surgery，and the research group was given vertebroplasty.The operative condition，postoperative hospital stay，pain score (VAS scale) and local Cobb angle (lateral side of vertebrae by X-ray) were compared in the two groups.Results The amount of intraoperative bleeding in the research group was less than that in the control group，and the hospitalization time in the research group was significantly shorter than that in the control group，with significant difference (P<0.05).The pain scores of the two groups at 1 d and 1 month after operation was significantly lower than that before treatment，with significant difference (P<0.05).The pain scores of the research group at 1 d and 1 month after operation was significantly lower than that of the control group，with significant difference (P<0.05).The local Cobb angle in the two groups at 1 d and 1 month after operation was significantly less than that before treatment，with significant difference (P<0.05).The local Cobb angle of the research group at 1 d and 1 month after operation was significantly less than that of the control group，with significant difference (P<0.05).Conclusion Vertebroplasty is effective in improving the local Cobb angle，relieving pain and shortening the hospital stay with mild surgical trauma and few postoperative complications，which is worthy of clinical promotion and application.
[Key words]Vertebroplasty；Spinal compression fractures；Spine；Pain
脊柱壓缩骨折是指骨基质和骨组织的矿物质渐渐发生变化，引起了脊柱脆性增加，椎体抗折性降低，并且长期在自身重力或外界轻微损伤下很容易发生骨折[1]，脊柱不堪重负而压缩变形，其多发生于55岁以上老年人群中。目前，本病多选择手术治疗，以提高患者的生活质量。但是长期以来使用的传统开放性手术治疗存在很多不足[2]，患者的生活质量得不到明显提高。我院开展经皮椎体成形术的主要目是增加椎体稳定性和强度，防止塌陷，是经皮通过椎弓根向椎体内注入骨水泥的一种微创脊椎外科技术，能有效缓解疼痛。本研究旨在探讨椎体成形术和传统开放性手术治疗脊柱压缩骨折的效果，现报道如下。, 百拇医药(娄冰 王献梅)
[关键词]椎体成形术；脊柱压缩骨折；脊椎；疼痛
[中图分类号] R683.2 [文献标识码] A [文章编号] 1674-4721(2017)08(a)-0090-03
[Abstract]Objective To explore the effect of vertebroplasty and traditional open surgery in the treatment of spinal compression fractures.Methods 140 patients with spinal compression fractures were enrolled in our hospital from March 2013 to October 2015.They were evenly divided into the control group and the research group according to the average distribution method，70 cases in each group.The control group was treated with traditional open surgery，and the research group was given vertebroplasty.The operative condition，postoperative hospital stay，pain score (VAS scale) and local Cobb angle (lateral side of vertebrae by X-ray) were compared in the two groups.Results The amount of intraoperative bleeding in the research group was less than that in the control group，and the hospitalization time in the research group was significantly shorter than that in the control group，with significant difference (P<0.05).The pain scores of the two groups at 1 d and 1 month after operation was significantly lower than that before treatment，with significant difference (P<0.05).The pain scores of the research group at 1 d and 1 month after operation was significantly lower than that of the control group，with significant difference (P<0.05).The local Cobb angle in the two groups at 1 d and 1 month after operation was significantly less than that before treatment，with significant difference (P<0.05).The local Cobb angle of the research group at 1 d and 1 month after operation was significantly less than that of the control group，with significant difference (P<0.05).Conclusion Vertebroplasty is effective in improving the local Cobb angle，relieving pain and shortening the hospital stay with mild surgical trauma and few postoperative complications，which is worthy of clinical promotion and application.
[Key words]Vertebroplasty；Spinal compression fractures；Spine；Pain
脊柱壓缩骨折是指骨基质和骨组织的矿物质渐渐发生变化，引起了脊柱脆性增加，椎体抗折性降低，并且长期在自身重力或外界轻微损伤下很容易发生骨折[1]，脊柱不堪重负而压缩变形，其多发生于55岁以上老年人群中。目前，本病多选择手术治疗，以提高患者的生活质量。但是长期以来使用的传统开放性手术治疗存在很多不足[2]，患者的生活质量得不到明显提高。我院开展经皮椎体成形术的主要目是增加椎体稳定性和强度，防止塌陷，是经皮通过椎弓根向椎体内注入骨水泥的一种微创脊椎外科技术，能有效缓解疼痛。本研究旨在探讨椎体成形术和传统开放性手术治疗脊柱压缩骨折的效果，现报道如下。, 百拇医药(娄冰 王献梅)