孙书广　唐圆圆

[摘要] 目的 研究探讨骨质疏松并发脊柱压缩性骨折的发病特点、临床治疗方法及效果。 方法 整群该院2013年3月—2014年3月收治的老年骨质疏松并发脊柱压缩性骨折的患者80例作为研究对象，按治疗方式不同分非手术治疗组（30例）和手术治疗组（50例），手术组患者组内又分为开放式手术治疗组（20例）和微创治疗组（30例），分别对比起临床治疗效果。结果 患者经开放手术治疗后的Cobb角为（17.4±9.8）°，显著优于其他非手术治疗组（31.4±10.9）°和微创手术组（27.4±12.5°），比较差异有统计学意义。非手术治疗组、开放手术治疗组和微创手术治疗组患者的治疗优良率分别为40.0%、70.0%和83.3%，以微创手术组的患者优良率最高，显著优于其他两组，比较差异有统计学意义（P<0.05）。结论 在不同手术治疗方式中又以经皮椎体形成术或经皮后凸形成术治疗骨质疏松并发脊柱压缩性骨折效果最好，具体治疗方式的选择要根据病情确定。

[关键词] 骨质疏松症并发脊柱压缩性骨折；发病特点；临床治疗

[中图分类号] R683 [文献标识码] A [文章编号] 1674-0742（2015）11（c）-0042-03

[Abstract] Objective To discuss the clinical characteristics， clinical treatment method and effect. Methods 80 cases of patients with osteoporosis with vertebral compression fractures treated in our hospital from March 2013 to March 2014 were selected as the research object and divided into non-operative treatment group （30 cases） and surgical treatment group （50 cases） according to the different treatment methods， surgical treatment group were divided into open surgical treatment group （20 cases） and minimally invasive treatment group （30 cases）， the clinical treatment effects of which were respectively compared. Results The cobb angle of patients after open surgical treatment was （17.4±9.8）°， which was significantly better than that in the non-operative treatment group （31.4±10.9）°and in the minimally invasive treatment group （27.4±12.5）°， the comparison of which was statistically different. The excellent and good rates of treatment in the non-operative treatment group， open surgical treatment group and minimally invasive treatment group were respectively 40.0%， 70.0% and 83.3%， and the minimally invasive treatment group of them was the highest， which was significantly better than the other two groups ， the comparison of which was statistically different（P<0.05）. Conclusion Of all the surgical treatment patterns， percutaneous vertebral body formation operation or percutaneous posterior convex formation operation in the treatment of osteoporosis with vertebral compression fractures has the best effect and the choice of specific treatment pattern should be determined according to the condition of the disease.

[Key words] Osteoporosis with vertebral compression fractures； Clinical Characteristics； Clinical treatment

骨质疏松症并发脊柱压缩性骨折属于临床常见病，尤其是在老年患者中，随着年龄的增大，骨脆性增加，弹性降低，骨代谢减少，骨密度降低，很容易发生脊柱压缩性骨折[1]。对其临床症状进行观察，并分析其发病特点，有利于治疗方式的合理选择。而对患者的早期治疗可以避免其发展为后凸畸形，治疗难度相对较小。该研究以该院2013年3月—2014年3月间收治的骨质疏松症并发脊柱压缩性骨折的患者作为研究对象，探讨其临床发病特点，分析其治疗方法和治疗效果，现报道如下。

1 资料与方法

1.1 一般资料

整群选取该院收治的骨质疏松症并发脊柱压缩性骨折的患者80例作为研究对象，所有患者均经影像学扫描（如X线摄片、CT、MRI扫描灯）检查确诊。……