微创脊柱外科应用经皮椎体成形术和后凸成形术的临床疗效观察

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目的研究微創脊柱外科应用经皮椎体成形术和后凸成形术的临床疗效。方法68例压缩性骨折患者，根据随机数字表法分为对照组和查看组，每组34例。对照组患者应用后凸成形术治疗，查看组患者应用经皮椎体成形术治疗。对比两组患者手术前后伤椎高度、椎体疼痛、Cobb角处境和临床效果、骨水泥渗漏率、手术费用。结果两组总有效率对比差异无统计学意义（P0.05）。查看组骨水泥渗漏率为23.53%（8/34），高于对照组的2.94%（1/34），差异具有统计学意义（P0.05）;查看组手术费用为（4.14±1.15）千元，明显低于对照组的（6.24±1.91）千元，差异具有统计学意义（P0.05）。两组患者手术后伤椎高度、椎体疼痛、Cobb角均较手术前改善，且对照组伤椎高度优于查看组，差异具有统计学意义（P0.05）。结论微创脊柱外科应用经皮椎体成形术和后凸成形术的临床疗效好像，均可缓解疼痛，恢复伤椎高度，但经皮椎体成形术更轻易展现骨水泥渗漏，费用更低，后凸成形术可更好恢复伤椎高度，可根据患者处境选择适合的手术。

微创脊柱外科;经皮椎体成形术;后凸成形术;临床疗效

DOI：10.14163/ki.11-5547/r.2022.12.009

ObjectiveTostudytheclinicalefficacyofpercutaneousvertebroplastyandkyphoplastyinminimallyinvasivespinalsurgery.MethodsAtotalof68patientswithcompressionfractureweredividedbyrandomnumbertablemethodintocontrolgroupandobservationgroup，with34casesineachgroup.Thecontrolgroupwastreatedwithkyphoplasty，andtheobservationgroupwastreatedwithpercutaneousvertebroplasty.Comparisonweremadeontraumaticvertebraeheight，vertebralpain，Cobbangleconditionbeforeandafteroperationandclinicaleffect，bonecementleakagerate，surgicalcostsbetweenthetwogroups.ResultsBothgroupshadnostatisticallysignificantdifferenceintotaleffectiverate（P0.05）.Theobservationgrouphadhigherbonecementleakagerateas23.53%（8/34）than2.94%（1/34）inthecontrolgroup，andthedifferencewasstatisticallysignificant（P0.05）.Theobservationgrouphadobviouslylowersurgicalcostsas（4.14±1.15）thousandyuanthan（6.24±1.91）thousandyuaninthecontrolgroup，andthedifferencewasstatisticallysignificant（P0.05）.Bothgroupshadimprovedtraumaticvertebraeheight，vertebralpainandCobbangleafteroperationthanbeforeoperation，andthecontrolgrouphadbettervertebralheightthantheobservationgroup.Theirdifferencewasstatisticallysignificant（P0.05）.ConclusionApplicationofpercutaneousvertebroplastyandkyphoplastyshowssimilarclinicalefficacyinminimallyinvasivespinalsurgery，andbothcanrelievepain，restorevertebralheight.However，percutaneousvertebroplastyismorepronetobonecementleakagewithlowercostandbetterkyphoplasty，anditcanbetterrestorethevertebralheight.Appropriateoperationshouldbechosenaccordingtot