2023年5月第30卷第5期经皮穿刺椎体成形术治疗老年OVCF的最佳手术时机探讨苗连宝，曹云霄（河南省滑县人民医院骨外科，河南安阳456400）【摘要】目的探讨经皮穿刺椎体成形术（PKP）治疗老年骨质疏松性椎体压缩骨折（OVCF）的最佳手术时机。方法选取2019年6月至2022年6月本院收治的150例老年OVCF患者，按照手术时机分为A组（骨折7d内手术）、B组（骨折7～28d内手术）、C组（骨折28d后手术）。比较三组的治疗效果及并发症。结果A组、B组骨水泥渗漏率低于C组（P＜0．05）。三组的再骨折率比较差异无统计学意义（P＞0．05）。A组、B组Cobb角低于术前及C组（P＜0．05）。A组、B组Owestry功能障碍指数（ODI）评分低于C组（P＜0．05）。术后6个月，三组矢状面偏移（SVA）、胸椎后凸角（TK）升高，腰椎前凸角（LL）降低，C组LL低于A组、B组（P＜0．05）。结论PKP治疗老年OVCF的效果确切，骨折后28d内接受治疗患者术后骨水泥渗漏发生率低，且利于患者功能恢复。【关键词】经皮穿刺椎体成形术；骨质疏松性椎体压缩骨折；手术时机中图分类号：R687.3文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.05.0657DiscussiononthebestOperationTimingofPercutaneousVertebroplastyintheTreatmentofElderlyOVCFMIAOLianbao,CAOYunxiao(DepartmentofOrthopaedics,HuaxianPeople'sHospital,Anyang456400,China)[Abstract]ObjectiveToexplorethebestoperationtimingforpercutaneousvertebroplasty(PKP)inthetreatmentofelderlyosteoporoticvertebralcompressionfracture(OVCF).Methods150elderlyOVCFpatientsadmittedtoourhospitalfromJune2019toJune2022weredividedintogroupA(operationwithin7daysoffracture),groupB(operationwithin7to28daysoffracture)andgroupC(operationafter28daysoffracture)accordingtooperationtime.Thetreatmenteffectandcomplicationsofthethreegroupswerecompared.ResultsTheleakageratesofbonecementingroupAandgroupBwerelowerthanthatingroupC(P<0.05).Nostatisticaldifferencewasfoundintherefracturerateamongthethreegroups(P>0.05).TheCobbangleingroupAandgroupBwerelowerthanthatbeforeoperationandthatingroupC(P<0.05).TheODIscoresofgroupAandgroupBwerelowerthanthatofgroupC(P<0.05).6monthsafteroperation,thesagittalverticalaxis(SVA)andthoracickyphosis(TK)increased,1umbarlordo-sis(LL)decreasedinthreegroups,andthe...
