吴彬　唐小松

【摘要】 目的：探究骨質疏松性脊椎压缩骨折患者行经皮椎体成形术治疗方案对腰椎功能和疼痛的影响。方法：将2017年7月-2019年7月于笔者所在医院接受治疗的81例骨质疏松性脊椎压缩骨折患者随机分为两组，观察组41例，对照组40例。观察组给予经皮椎体成形术治疗方案，对照组给予保守治疗方案。将两组治疗前后功能障碍指数（ODI）、视觉模拟评分（VAS）、椎体前缘高度及Cobb角进行记录和对比。结果：治疗后，观察组ODI评分为（15.51±3.24）分，显著低于对照组（P<0.05）;观察组VAS评分为（2.11±0.21）分，低于对照组（P<0.05）;治疗后，观察组椎体前缘高度为（25.19±2.35）mm，高于对照组（P<0.05）;治疗后，观察组Cobb角为（9.12±3.06）°，小于对照组（P<0.05）。结论：骨质疏松性脊椎压缩骨折患者采用经皮椎体成形术治疗，能够改善腰椎功能，减轻疼痛，缩短椎体前缘高度恢复进程。

【关键词】 经皮椎体成形术 骨质疏松性脊椎压缩骨折 腰椎功能 疼痛

doi：10.14033/j.cnki.cfmr.2020.21.052 文献标识码 B 文章编号 1674-6805（2020）21-0-03

Effect of Percutaneous Vertebroplasty on Lumbar Function and Pain in Patients with Osteoporotic Vertebral Compression Fracture/WU Bin， TANG Xiaosong. //Chinese and Foreign Medical Research， 2020， 18（21）： -129

[Abstract] Objective： To investigate the effect of percutaneous vertebroplasty on lumbar function and pain in patients with osteoporotic vertebral compression fracture. Method： A total of 81 cases of osteoporotic vertebral compression fracture who were treated in our hospital from July 2017 to July 2019 were randomly divided into two groups， 41 cases in the observation group， and 40 cases in the control group. And the observation group was given percutaneous vertebroplasty， and the control group was given conservative treatment plan. The Oswestry dysfunction index （ODI）， visual analog scale （VAS）， anterior vertebral height and Cobb angle before and after treatment were recorded and compared between the two groups. Result： After treatment， the ODI score of the observation group was （15.51±3.24） points， which was significantly lower than that of the control group （P<0.05）. The VAS score of the observation group was （2.11±0.21） points， which was lower than that of the control group （P<0.05）. After treatment， the anterior vertebral height of the observation group was （25.19±2.35） mm， which was higher than that of the control group （P<0.05）. After treatment， the Cobb angle of the observation group was （9.12±3.06）°， which was less than that of the control group （P<0.05）. Conclusion： Percutaneous vertebroplasty for patients with osteoporotic vertebral compression fractures can improve the lumbar function， reduce the pain， and shorten the recovery process of the anterior vertebral height.

[Key words] Percutaneous vertebroplasty Osteoporotic vertebral compression fracture Lumbar function Pain

First-authors address： Peoples Hospital of Yangxi County， Yangxi 529800， China

骨质疏松症属于全身骨代谢障碍疾病，以骨组织结构受损、骨质薄弱、骨小梁减少为主要特征[1]。相关研究发现，由骨质疏松造成骨小梁异常和骨质脱钙是骨质疏松性脊椎压缩骨折（OVCF）的主要原因[2]。临床对骨质疏松性脊椎压缩骨折患者通常采用手术治疗。本文主要探究骨质疏松性脊椎压缩骨折患者行经皮椎体成形术治疗方案对腰椎功能和疼痛的影响，结果如下。

1 资料与方法

1.1 一般资料

选取2017年7月-2019年7月于笔者所在医院接受治疗的81例骨质疏松性脊椎压缩骨折患者。纳入标准：确诊为骨质疏松性脊椎压缩骨折;资料完整。排除标准：具有手术禁忌证;其他类型骨折;肝肾功能障碍;免疫及血液系统疾病;精神心理障碍。随机分为两组，观察组41例，对照组40例。观察组男28例，女13例;年龄（70.11±5.57）岁;腰椎骨折21例，胸椎骨折20例。对照组男28例，女12例;年龄（70.05±5.61）岁;