| 刘 俭,孙立军.PKP与切开复位内固定治疗多节段创伤性脊柱骨折疗效对比分析[J].中国烧伤创疡杂志,2023,(3):215~218. |
| DOI： |
| 中文关键词: 经皮椎体后凸成形术 切开复位内固定 脊柱骨折 椎体前缘高度 Cobb 角 脊柱功能 日常生活能力 |
| 英文关键词:Percutaneous kyphoplasty Open reduction internal fixation Spinal fracture Anterior vertebral body height Cobb angle Spinal function Activities of daily living |
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| 中文摘要: |
| 【摘要】 目的 对比分析经皮椎体后凸成形术 (PKP) 与切开复位内固定治疗多节段创伤性脊柱骨折的临床疗效。方法 选取 2017 年 11 月至 2020 年 11 月铁岭市中心医院收治的 72 例多节段创伤性脊柱骨折患者作为研究对象, 按照随机数表法将其随机分为 PKP 组 (36 例) 与切开复位组 (36 例), PKP 组患者采用 PKP 治疗, 切开复位组患者采用传统切开复位内固定治疗, 对比观察两组患者椎体前缘高度、Cobb 角、Oswestry 功能障碍指数
(ODI)、Barthel 指数与并发症发生情况。结果 术后 1、6 个月, PKP 组患者椎体前缘高度均明显高于切开复位组 (t = 2.120、3.579, P = 0.038、P < 0.001), Cobb 角均明显小于切开复位组 ( t = 6.772、9.937, P 均 <0.001), ODI 评分均明显低于切开复位组 (t = 8.348、9.883, P 均 < 0.001), Barthel 指数评分均明显高于切开复位组 (t = 17.958、29.613, P 均 < 0.001)。PKP 组患者术后并发症发生率为 8.3% , 与切开复位组患者的术后并发症发生率 25.0% 无明显差异 (χ2= 3.600, P = 0.058)。结论 PKP 治疗多节段创伤性脊柱骨折, 可明显改善伤椎椎体前缘高度及 Cobb 角, 促进脊柱功能恢复, 提高患者日常生活能力。 |
| 英文摘要: |
| 【Abstract】 Objective To compare the clinical efficacy of percutaneous kyphoplasty (PKP) and open reduction internal fixation in the treatment of multi-level traumatic spinal fracture. Methods 72 patients with multi-level traumatic spinal fracture, admitted into Tieling Central Hospital between November 2017 and November 2020, were enrolled as research subjects, and divided into PKP group ( n = 36) and open reduction group ( n = 36) using the random number table. Patients in the PKP group were treated with the PKP, while patients in the open reduction group were treated with the traditional open reduction and internal fixation. The anterior vertebral body height, Cobb angle, Oswestry disability index(ODI), Barthel index and occurrence of complications were compared between the two groups. Results Respectively at month 1 and 6 after surgery, the anterior vertebral body heights of patients were both obviously higher ( t = 2.120 and 3.579, P = 0.038, P < 0.001), the Cobb angles were significantly smaller (t = 6.772 and 9.937, both P < 0.001), ODI scores were markedly lower (t = 8.348 and 9.883, both P < 0.001), and the Barthel index scores were obviously higher(t = 17.958 and 29.613, both P < 0.001) in the PKP group compared with the open reduction group. The incidence of postoperative complications of patients was 8.3% in the PKP group, which showed no statistically significant difference compared with the corresponding 25.0% of patients in the open reduction group (χ2= 3.600, P = 0.058). Conclusion In the treatment of multi-level traumatic spinal fracture, PKP can significantly improve the anterior vertebral body height and Cobb angle of the affected vertebra, promote the functional recovery of spinal cord, and increase the patients’ activities of daily living. |
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