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目的比较椎体成形术(PVP)与椎体后凸成形术(PKP)治疗骨质疏松性椎体压缩骨折的临床疗效。方法选择我院收治的98例骨质疏松性椎体压缩骨折患者作为研究对象,根据手术方法的不同分为观察组与对照组,各49例。观察组实施PVP,对照组采用PKP。比较2组术前、术后疼痛评分(VAS)、临床效果及骨水泥渗透率。结果 2组有效率差异无统计学意义(P>0.05);2组术后VAS评分均显著降低,观察组的下降趋势比对照组更加明显,差异有统计学意义(P<0.05);观察组发生骨水泥渗漏率高于对照组,差异有统计学意义(P<0.05)。结论 2种术式均取得较好的临床效果,PVP可以更有效减轻患者疼痛,PKP的骨水泥渗透率比PVP低,2种术式各有所长,可根据患者的临床情况进行选择。
Objective To compare the clinical effects of vertebroplasty (PVP) and kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fractures. Methods A total of 98 patients with osteoporotic vertebral compression fractures treated in our hospital were selected as study subjects and divided into observation group and control group according to different surgical methods, with 49 cases in each group. The observation group was administered PVP while the control group was treated with PKP. Preoperative and postoperative pain scores (VAS), clinical outcomes and bone cement permeability were compared between the two groups. Results There was no significant difference in the effective rates between the two groups (P> 0.05). The VAS scores of the two groups were significantly lower than those of the control group (P <0.05). The observation group Bone cement leakage rate higher than the control group, the difference was statistically significant (P <0.05). Conclusion Both of the two procedures have achieved good clinical results. PVP can reduce the pain more effectively. The permeability of PKP is lower than that of PVP. The two kinds of operation have their own advantages and can be selected according to the clinical condition of patients.