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目的探讨单双侧经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的临床疗效。方法选取2014年1月至2016年1月41例骨质疏松性椎体压缩性骨折患者作为研究对象,所有患者均采用经皮双侧或单侧椎弓根穿刺球囊扩张技术,比较治疗前后VSA评分、椎体前缘高度、椎体中部高度、Cobb角及活动能力评分等指标。结果治疗前后,41例骨质疏松性椎体压缩性骨折患者VSA评分、椎体前缘高度、椎体中部高度、Cobb角及活动能力评分等指标比较差异有统计学意义(P<0.05);单侧穿刺组和双侧穿刺组治疗前后VSA评分、椎体前缘高度、椎体中部高度、Cobb角及活动能力评分等指标进行比较,其中组内比较差异有统计学意义(P<0.05),组间比较差异未见统计学意义(P>0.05)。结论经皮椎弓根穿刺球囊扩张技术治疗骨质疏松性椎体压缩性骨折疗效显著,单侧和双侧入路均可取得满意的治疗效果。
Objective To investigate the clinical efficacy of single and double percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fractures. Methods From January 2014 to January 2016, 41 patients with osteoporotic vertebral compression fractures were selected. All patients were treated with percutaneous double-sided or unilateral pedicle-penetrating balloon dilatation technique. Before and after treatment VSA score, anterior vertebral height, mid-vertebral height, Cobb angle and activity score and other indicators. Results Before and after treatment, there were significant differences in VSA score, vertebral anterior height, central vertebral body height, Cobb angle and mobility of 41 patients with osteoporotic vertebral compression fractures before and after treatment (P <0.05). VSA score, anterior vertebral height, central height of vertebral body, Cobb angle and activity score before and after treatment were compared between unilateral puncture group and bilateral puncture group, and the difference was statistically significant (P <0.05) , There was no significant difference between groups (P> 0.05). Conclusion Percutaneous pedicle puncture balloon dilation is effective in treating osteoporotic vertebral compression fractures. Both unilateral and bilateral approaches can achieve satisfactory therapeutic effect.