[1]邓强,韩宪富,李中锋,等.PKP与“五点式”支撑复位综合疗法治疗新鲜骨质疏松性胸腰椎压缩骨折疗效比较[J].西部中医药,2017,30(01):1-3.
　DENG Qiang,HAN Xianfu,LI Zhongfeng,et al.Effects Comparison of PKP and "Five-point" Support and Reduction Combined Therapy in Treating New Osteoporotic Thoracolumbar Compression Fracture[J].Western Journal of Traditional Chinese Medicine,2017,30(01):1-3.
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PKP与“五点式”支撑复位综合疗法治疗新鲜骨质疏松性胸腰椎压缩骨折疗效比较()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
30
期数:
2017年01期
页码:
1-3
栏目:
出版日期:
2017-01-15

文章信息/Info

Title:
Effects Comparison of PKP and "Five-point" Support and Reduction Combined Therapy in Treating New Osteoporotic Thoracolumbar Compression Fracture
文章编号:
1004-6852(2017)01-0001-03
作者:
邓强1，韩宪富2，李中锋1，彭冉东2
1 甘肃省中医院脊柱骨二科，甘肃 兰州 730050； 2 甘肃中医药大学
Author(s):
DENG Qiang1, HAN Xianfu2, LI Zhongfeng1, PENG Randong2
1 The Second Spine Surgery Department of Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China; 2 Gansu University of Chinese Medicine
关键词:
胸腰椎压缩骨折; 骨质疏松性; 新鲜; 经皮椎体后凸成形术; “五点式”支撑复位; 综合疗法
Keywords:
OVCFs;  osteoporosis;  new;  PKP;  "five-point" support and reduction;  combined therapy
分类号:
R274
文献标志码:
A
摘要:
目的：观察经皮椎体后凸成形术(PKP)与“五点式”支撑复位综合疗法治疗新鲜骨质疏松性胸腰椎压缩骨折（OVCFs）在缓解疼痛、矫正脊柱后凸畸形、改善患者生活质量及邻近再骨折发生率、骨密度改善等方面的效果。方法：回顾性分析OVCFs患者74例，其中37例行PKP手术治疗（A组），37例行“五点式”支撑复位综合疗法治疗（B组），术后常规拍摄伤椎及其邻近阶段X线片，行骨密度检查，2组治疗后6、12、24个月进行随访，记录患者疼痛视觉模拟评分（VAS）、伤椎前缘高度、后凸Cobb角、Oswesty功能障碍指数（ODI）、邻近再骨折发生率、骨密度改善情况。结果：A组伤椎前缘高度恢复、后凸畸形矫正、疼痛缓解及功能活动、骨密度改善等方面均优于B组，差异有统计学意义（P＜0.05）。A组与B组邻近节段发生骨折率分别为8.1％和18.9％，差异有统计学意义（P＜0.05）。结论：PKP能使OVCFs患者的腰背疼痛得到有效缓解，能矫正后凸畸形，改善患者生活质量，降低邻近阶段骨折的再发生。
Abstract:
Objective: To observe the effects of PKP and "five-point" support and reduction combined therapy in treating OVCFs on pain relief, kythphosis malformation correction, life quality improvements of the patient, the rate of adjacent fracture recurrence, and bone density improvement. Methods: All 74 patients with OVCFs were analyzed retrospectively, 37 cases(A group) were given PKP surgery, 37 cases( B group) were given "five-point" support and reduction combined therapy, routine injury vertebra and adjacent stages of X ray were shot after surgery, bone density was examined, the patients were followed in six, twelve and 24 months after treatment in two groups, VAS, anterior height of injuried vertebra, Cobb corner of kyphosis, ODI, rate of adjacent fracture recurrence, bone density improvement were recorded. Results: Anterior height of vertebra recovery, malformation correction of kyphosis, pain relief, function activity, bone density improvement in A group were better than theses of B group, there were statistical differences (P＜0.05). Rate of fracture in adjacent parts were 8.1% and 18.9% in A and B group respectively, there was statistical difference (P＜0.05). Conclusion: PKP can relieve lumbar and back pain for patients with OVCFs, correct kyphosis malformation, and improve patients’ life quality, lower recurrence of fracture in adjacent parts.

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备注/Memo

备注/Memo:
收稿日期：2016-06-04*基金项目：卫生部医药卫生科技发展研究中心课题（编号W2014ZT210）；国家中医药管理局国家中医临床研究基地业务建设科科研专项课题（编号JDZX2015039）；2016年甘肃省中医药管理局科研立项课题（编号GZK-2016-54）。作者简介：邓强(1970—)，男，硕士学位，硕士研究生导师，主任医师。研究方向：脊柱疾病的中西医结合防治。
更新日期/Last Update: 2017-01-15