PKP治疗老年女性骨质疏松伴病理性骨折的疗效
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v6i6.11004
Abstract
背景：随着全球人口的老龄化,女性老年性骨质疏松伴病理性骨折已成为日益关注的临床热点问题。目前老年女性骨质疏松伴病理性骨折的患者多行PKP治疗,其术后临床效果及危险因素尚不明确,这是广大学者研究和探讨的价值所在。方法：本研究选取2018年8月至2020年12月于承德医学院附属医院诊断为骨质疏松伴病理性骨折的老年女性患者74例,并接受经皮椎体后凸成形术(PKP),所有患者随访2年,并进行术后评价。最后,我们用视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)评分和改良的Macnab标准来评估临床效果。结果：本研究74例女性患者平均年龄72.95±6.04岁,首次月经年龄15.35±1.68岁,末次月经年龄50.30±3.13岁。由于患者年龄较大,术前患者可能存在心脑血管、各种老年性基础疾病,这也是我们关注的问题。术后ODI值和VAS评分均有显著提高,81.08%的患者Macnab评分为优。其中,我们发现各年龄段患者的ODI值和VAS评分无显著差异,我们需要更多的样本量和随访时间进行探索。结论：PKP治疗老年女性骨质疏松伴病理性压缩性骨折有效,对合并症的治疗也是预防再骨折的重要措施。
Keywords
经皮椎体后凸成形术；PKP；骨质疏松性骨折；OVCF；老年女性
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