(临床研究）·论著··1375.临床医学工程星2023年10月第30卷第10期经皮椎体后凸成形术对椎体压缩性骨折患者腰椎功能及步态的影响韩宁波，蔡金杏，沈松（泰州市姜堰区潼人民医院骨科，江苏泰州225500)【摘要】目的分析经皮椎体后凸成形术（PKP）治疗椎体压缩性骨折患者的临床效果。方法120例椎体压缩性骨折患者随机分为两组，对照组予以经皮椎体成形术（PVP）治疗，观察组予以PKP治疗，比较两组的治疗效果。结果观察组的手术时间长于对照组，骨水泥注入量多于对照组，并发症发生率低于对照组（P<0.05）。术后，观察组的ODI评分低于对照组，步行速度快于对照组，步幅长于对照组（P<0.05)。结论PKP相对于PVP在改善腰椎功能、促进步态恢复方面效果更佳，并发症更少。【关键词】椎体压缩性骨折；经皮椎体后凸成形术；经皮椎体成形术；腰椎功能；步态中图分类号：R683.2文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.10.1375mpactofPercutaneousKyphoplastyonLumbarFunctionandGaitinPatientswithVertebralCompressionFractures//HANNingbo,CAIJinxing,SHENSong(DepartmentofOrthopedics,QintongPeople'HospitalofJiangyanDistrict,Taizhou225500,China)[Abstract]ObjectiveToexploretheclinicaleffectofpercutaneouskyphoplasty(PKP)inthetreatmentofpatientswithvertebralcompressionfractures.Methods120patientswithvertebralcompressionfractureswererandomlydividedintotwogroups.Thecontrolgroupwastreatedwithpercutaneousvertebroplasty(PVP),andtheobservationgroupwastreatedwithPKP.Thetherapeuticeffectsofthetwogroupswerecompared.ResultsTheoperationtimeoftheobservationgroupwaslongerthanthatofthecontrolgroup,theamountofbonecementinjectionwasmorethanthatofthecontrolgroup,andtheincidenceofcomplicationswaslowerthanthatofthecontrolgroup(P<0.05).Aftersurgery,theODIscoreoftheobservationgroupwaslowerthanthatofthecontrolgroup,thewalkingspeedwasfasterthanthatofthecontrolgroup,andthestridelengthwaslongerthanthatofthecontrolgroup(P<0.05).ConclusionsPKPismoreeffectivethanPVPinimprovinglumbarfunctionandpromotinggaitrecovery,andhasfewercomplications.[Keywords]Vertebralcompressionfractures;Percutaneouskyphoplasty;Percutaneousvertebroplasty;Lumbarfunction;Gait椎体压缩性骨折在临床的患病率较...
