摘要
目的 分析椎体成形术用于创伤性胸腰椎骨折中的疗效。方法 将2021年1月-2022年10月间我院收治的创伤性胸腰椎骨折患者126例随机分为2组,并分析不同治疗方式的应用效果。结果 实验组的治疗效果优于对照组,VAS评分、前椎体、中椎体以及后椎体高度改善优于对照组,P<0.05,矢状位Cobb角与对照组间无统计学差异,P>0.05。对比手术相关指标以及住院时间,实验组均短于对照组,P<0.05。结论 椎体成形术在创伤性胸腰椎骨折中具有比较理想的效果,能够使患者的临床症状得到良好的缓解,患者术后恢复速度相对较快,并且术后并发症的发生率较低,使其生活质量得到改善。
关键词: 椎体成形术;创伤性胸腰椎骨折;治疗效果;生活质量
Abstract
Objective To analyze the effect of vertebroplasty in traumatic thoracolumbar fractures. Methods 126 patients with traumatic thoracolumbar fractures admitted to our hospital from January 2021 to October 2022 were randomly divided into two groups, and the application effects of different treatment methods were analyzed. Results The treatment effect of the experimental group was better than that of the control group. The VAS score, the height of the anterior vertebral body, the middle vertebral body and the posterior vertebral body improved better than that of the control group (P<0.05). There was no statistical difference between the sagittal Cobb angle and the control group (P>0.05). Compared with the operation related indexes and hospital stay, the experimental group was shorter than the control group (P<0.05). Conclusion Vertebroplasty has an ideal effect in the treatment of traumatic thoracolumbar fracture, which can make the clinical symptoms of patients get a good relief, the recovery rate of patients after surgery is relatively fast, and the incidence of postoperative complications is low, so that their quality of life is improved.
Key words: Vertebroplasty; Traumatic thoracolumbar fracture; Treatment effect; Quality of life
参考文献 References
[1] 胡水根.老年胸腰椎骨折患者中胸腰椎椎体成形术的临床应用效果分析[J].现代诊断与治疗, 2022, 33(17): 2632-2634,2637.
[2] 严越茂,李世平,肖建斌,等.经皮椎体成形术治疗老年创伤性胸腰椎骨折的临床研究[J].赣南医学院学报, 2022, 42(2):167-169,193.
[3] 翟荣宽.椎体成形术结合体位复位术在创伤性胸腰椎骨折中的临床治疗效果研究[J].世界最新医学信息文摘,2022,22(37):6-10.
[4] 唐福波,莫怡,万通,等.不同椎弓根入路椎体成形术治疗胸腰椎骨折的网状Meta分析[J].广西医学, 2022, 44(1): 80-86.
[5] 田晓瑜,李治.经皮穿刺椎体成形术结合体位复位术治疗创伤性胸腰椎骨折对椎体功能的改善作用[J].中华养生保健,2021,39(6):193-195.
[6] 吴卓檀,万通,何炳坤,等.单侧椎弓根外入路与双侧椎弓根入路行经皮椎体成形术治疗胸腰椎骨折的Meta分析[J].世界最新医学信息文摘(连续型电子期刊), 2021, 21(18): 54-60,76
[7] 袁新.创伤性胸腰椎骨折采用椎体成形术结合体位复位治疗的临床观察[J].中西医结合心血管病电子杂志, 2019, 7(12):52.
[8] 贾会光,赵惠强.磷酸钙骨水泥应用于创伤性胸腰椎骨折经皮后凸椎体成形术的效果分析[J].临床医学, 2019, 39(6):31-33.