The clinical efficacy of percutaneous vertebral molding in osteoporotic vertebral compressionfractures was analyzed
分析经皮椎体成型术治疗骨质疏松性椎体压缩性骨折的临床疗效

摘要

目的 探究骨质疏松性椎体压缩性骨折经分析经皮椎体成型术治疗的临床效果。方法 搜集本院2021.6-2022.6之间本院经皮椎体成型术治疗骨质疏松性椎体压缩性骨折30例资料，与同期施行保守治疗的其他30例骨质疏松性椎体压缩性骨折患者展开对比，设为手术组、保守组，对比两组治疗期间的VAS疼痛程度；对比两组患者治疗后健康调查简表（the MOS item short from health survey, SF-36）评分；对比治疗三个月后患者Fugl-Meyer评定量表患者的肢体运动能力；对比患者满意度。结果 手术组整体疼痛程度偏重，P<0.05。手术组患者生活质量偏高，P<0.05。手术组肢体障碍等级偏低，活动能力偏高，观察组满意度28/93.3%大于对照组24/80%，P<0.05。结论 经皮椎体成型术属于微创手术，可经骨折椎体植入球囊进行骨折复位，因骨水泥注入而增加椎体强度，围术期效果立竿见影可明显缓解疼痛，提升患者生活质量，使得患者肢体运动能力尽快恢复，针对骨折治疗具有高效性，可作为临床主流治疗模式。

Abstract

Objective To explore the clinical effect of osteoporotic vertebral compression fracture.
Methods 30 cases of osteoporotic vertebral compression fracture treated between 2021.6---2022.6 were collected, In contrast with 30 other patients with osteoporotic vertebral compression fractures undergoing conservative treatment during the same period, Set as the surgical group, the conservative group, The degree of VAS pain during the treatment period was compared between the two groups; Comparing the post-treatment health survey brief of the two groups (the MOS item short from health survey, SF-36) score; Compare the limb movement ability of patients on the Fugl-Meyer rating scale after three months of treatment; Comparison of patient satisfaction rates.
Results The overall pain level in the surgical group was more severe, P <0.05. The surgical group had a high quality of life, P <0.05. The surgical group had a low grade of limb disorder and high mobility, and the satisfaction of the observation group of 28 / 93.3% was greater than 24 / 80% of the control group, with P <0.05.
Conclusion   percutaneous vertebral molding belongs to the minimally invasive surgery, can be implanted by fracture vertebral body balloon fracture reduction, to increase the vertebral strength by cement injection, perioperative effect immediate can relieve pain, improve the quality of life in patients, makes the patient limb movement ability to recover as soon as possible, for fracture treatment has high efficiency, can be used as a clinical mainstream of treatment mode.