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目的:探讨高龄骨折骨质疏松性椎体压缩骨折治疗中单侧与双侧椎弓根入路椎体成形术的效果差异。方法:以随机数字表法为分组依据,将2016年1月至2017年1月就诊于我院的80例骨质疏松性椎体压缩骨折高龄老年患者分为单侧入路的观察组与双侧入路的对照组,每组各40例患者。对比分析两组患者的治疗效果。结果:在手术时间、骨水泥的使用量以及术中X线的照射时间方面,观察组患者均明显少于对照组,且差异统计学意义(P>0.05);在疼痛评分及水泥渗漏率方面,两组患者不存在显著差异(P>0.05)。结论:两种入路术式均能有效治疗高龄骨折骨质疏松性椎体压缩骨折,但与双侧入路相比,单侧入路的优势更为显著,值得临床广泛开展。
Objective: To investigate the effect of vertebraloplasty in the treatment of osteoporotic vertebral compression fractures in elderly patients with unilateral and bilateral pedicle screws. Methods: According to the random number table method, 80 elderly patients with osteoporotic vertebral compression fracture treated in our hospital from January 2016 to January 2017 were divided into observation group Side of the control group, each group of 40 patients. Comparative analysis of two groups of patients treatment. Results: The operation time, the amount of bone cement and the irradiation time of X-ray in the observation group were significantly less than those in the control group (P> 0.05). In the pain score and cement leakage rate There was no significant difference between the two groups (P> 0.05). CONCLUSION: Both approaches can effectively treat osteoporotic vertebral compression fractures in elderly patients. Compared with bilateral approaches, the advantages of unilateral approach are more significant and worthy of widespread clinical practice.