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目的:回顾分析椎体后凸成形术加中药封包疗法治疗骨质疏松性椎体压缩骨折的临床疗效。方法:应用Kyphx球囊扩张器对单侧(24个椎体)行经皮穿刺椎体成形术。本组患者均主诉腰背部剧烈疼痛,无下肢感觉运动异常,并通过X光平片及MR检查确诊。所有患者手术前后以及随访时均对比评价VAS疼痛评分、ODI功能评分、伤椎高度以及后凸角度进行统计分析。结果:所有患者顺利完成手术,平均手术时间为60～100min。所有患者疼痛缓解。平均VAS疼痛记分术后1月、末次随访与术前比较,差异均有显著性意义(P<0.05)。平均ODI功能评分术后1周、术后1月、末次随访与术前比较,差异均有显著性意义(P<0.05);伤椎前、中柱的平均高度术后、末次随访,与术前比较,差异均有显著性意义(P<0.05)。脊柱后凸Cobb角术后、末次随访与术前比较,差异均有显著性意义(P<0.05)。结论:经皮椎体后凸成形术创伤小,可快速缓解疼痛,术后配合中药封包疗法改善局部血液循环,使临床效果更为显著。
Objective: To retrospectively analyze the clinical effect of kyphoplasty combined with traditional Chinese medicine capsule therapy in the treatment of osteoporotic vertebral compression fractures. Methods: Kyphx balloon dilator was used for unilateral (24 vertebral) percutaneous vertebroplasty. The patients were complained of severe back pain, no lower extremity sensory abnormalities, and confirmed by X-ray and MR examination. The VAS pain score, ODI function score, the height of the injured vertebrae and the kyphosis angle were compared statistically in all patients before and after operation and at follow-up. Results: All patients successfully completed the operation, the average operation time was 60 ~ 100min. Pain relief in all patients. The average VAS pain score at 1 month after surgery, the last follow-up and preoperative comparison, the difference was significant (P <0.05). The mean ODI score at 1 week after surgery, at 1 month after surgery, at the last follow-up and before surgery were significantly different (P <0.05) Before comparison, the differences were significant (P <0.05). Cobb angle of kyphosis, the last follow-up and preoperative comparison, the difference was significant (P <0.05). Conclusion: Percutaneous kyphoplasty is less invasive and can relieve pain quickly. Combined with Chinese medicine package therapy to improve local blood circulation, the clinical effect is more significant.