微創(chuàng)脊柱外科應(yīng)用經(jīng)皮椎體成形術(shù)和后凸成形術(shù)的臨床療效觀察

　　【摘要】 目的 研究微創(chuàng)脊柱外科應(yīng)用經(jīng)皮椎體成形術(shù)和后凸成形術(shù)的臨床療效。方法 68例壓縮性骨折患者， 根據(jù)隨機(jī)數(shù)字表法分為對照組和觀察組， 每組34例。對照組患者應(yīng)用后凸成形術(shù)治療， 觀察組患者應(yīng)用經(jīng)皮椎體成形術(shù)治療。比較兩組患者手術(shù)前后傷椎高度、椎體疼痛、Cobb角情況和臨床效果、骨水泥滲漏率、手術(shù)費(fèi)用。結(jié)果 兩組總有效率比較差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。觀察組骨水泥滲漏率為23.53%（8/34）， 高于對照組的2.94%（1/34）， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）;觀察組手術(shù)費(fèi)用為（4.14±1.15）千元， 明顯低于對照組的（6.24±1.91）千元， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。兩組患者手術(shù)后傷椎高度、椎體疼痛、Cobb角均較手術(shù)前改善， 且對照組傷椎高度優(yōu)于觀察組， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 微創(chuàng)脊柱外科應(yīng)用經(jīng)皮椎體成形術(shù)和后凸成形術(shù)的臨床療效相似， 均可緩解疼痛， 恢復(fù)傷椎高度， 但經(jīng)皮椎體成形術(shù)更容易出現(xiàn)骨水泥滲漏， 費(fèi)用更低， 后凸成形術(shù)可更好恢復(fù)傷椎高度， 可根據(jù)患者情況選擇合適的手術(shù)。
　　【關(guān)鍵詞】 微創(chuàng)脊柱外科;經(jīng)皮椎體成形術(shù);后凸成形術(shù);臨床療效
　　DOI：10.14163/j.cnki.11-5547/r.2018.12.009
　　【Abstract】 Objective To study the clinical efficacy of percutaneous vertebroplasty and kyphoplasty in minimally invasive spinal surgery. Methods A total of 68 patients with compression fracture were divided by random number table method into control group and observation group， with 34 cases in each group. The control group was treated with kyphoplasty， and the observation group was treated with percutaneous vertebroplasty. Comparison were made on traumatic vertebrae height， vertebral pain， Cobb angle condition before and after operation and clinical effect， bone cement leakage rate， surgical costs between the two groups. Results Both groups had no statistically significant difference in total effective rate （P>0.05）. The observation group had higher bone cement leakage rate as 23.53% （8/34） than 2.94% （1/34） in the control group， and the difference was statistically significant （P<0.05）. The observation group had obviously lower surgical costs as （4.14±1.15） thousand yuan than （6.24±1.91） thousand yuan in the control group， and the difference was statistically significant （P<0.05）. Both groups had improved traumatic vertebrae height， vertebral pain and Cobb angle after operation than before operation， and the control group had better vertebral height than the observation group. Their difference was statistically significant （P<0.05）. Conclusion Application of percutaneous vertebroplasty and kyphoplasty shows similar clinical efficacy in minimally invasive spinal surgery， and both can relieve pain， restore vertebral height. However， percutaneous vertebroplasty is more prone to bone cement leakage with lower cost and better kyphoplasty， and it can better restore the vertebral height. Appropriate operation should be chosen according to the conditions of patients.
　　【Key words】 Minimally invasive spinal surgery; Percutaneous vertebroplasty; Kyphoplasty; Clinical efficacy

相關(guān)熱詞搜索：成形術(shù) 脊柱 療效 外科 臨床