2023年4月第30卷第4期经皮穿刺骨水泥椎体成形术治疗老年椎体压缩性骨折的临床效果周正龙，陈晓磊（河南省第二人民医院骨科二病区，河南郑州451191）【摘要】目的探讨经皮穿刺骨水泥椎体成形术治疗老年椎体压缩性骨折的临床效果。方法80例老年椎体压缩性骨折患者随机分为两组各40例。对照组行切开复位内固定术治疗，观察组行经皮穿刺骨水泥椎体成形术治疗。比较两组的手术指标、术后疼痛程度及生活自理能力。结果观察组的手术时间短于对照组，术中出血量少于对照组，伤椎增加高度高于对照组（P<0.05）。观察组术后1d、3d、7d的VAS评分均低于对照组，术后1周、2周、1个月的ADL评分均高于对照组（P<0.05）。结论经皮穿刺骨水泥椎体成形术治疗老年椎体压缩性骨折的效果显著，有助于降低患者术后疼痛程度，改善患者生活自理能力。【关键词】椎体压缩性骨折；经皮穿刺骨水泥椎体成形术；疼痛程度；生活自理能力中图分类号：R683.2文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.04.0477ClinicalEffectofPercutaneousPunctureBoneCementVertebroplastyintheTreatmentofElderlyVertebralCompressionFractures//ZHOUZhenglong,CHENXiaolei(TheSecondWardofDepartmentofOrthopaedics,He'nanProvincialSecondPeople'sHospital,Zhengzhou451191,China)[Abstract]ObjectiveToexploretheclinicaleffectofpercutaneouspuncturebonecementvertebroplastyinthetreatmentofelderlyvertebralcompressionfractures.Methods80elderlypatientswithvertebralcompressionfractureswererandomlydividedintotwogroups,with40casesineachgroup.Thecontrolgroupwastreatedwithopenreductionandinternalfixation,andtheobservationgroupwastreatedwithpercutaneouspuncturebonecementvertebroplasty.Thesurgicalindicators,postoperativepaindegreeandself-careabilitywerecomparedbetweenthetwogroups.ResultsTheoperationtimeoftheobservationgroupwasshorterthanthatofthecontrolgroup,theintraoperativebloodlossamountwaslessthanthatofthecontrolgroup,andtheincreasedheightoftheinjuredvertebraewashigherthanthatofthecontrolgroup(P<0.05).TheVASscoresat1d,3dand7daftersurgeryoftheobservationgroupwerelowerthanthoseofthecontrolgroup,andtheADLscoresat1week,2weeksand1monthaftersurgerywerehigherthanthoseofthecontrolgroup(P<0.05).ConclusionsPercutaneous...
