经皮椎体球囊扩张成形术治疗AO-A型胸腰椎骨折的效果

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Abstract Objective To observe the clinical effect of percutaneous kyphoplasty（PKP） in the treatment of AO-A thoracolumbar fractures. Methods A total of 260 patients with AO-A thoracolumbar fractures who were admitted in Kunshan Hospital of Traditional Chinese Medicine from January 2018 to December 2020 were selected as the the research objects. They were divided into observation group and control group by random number table method, with 130 cases in each group. The control group was treated with Wiltse incision and reduction, the observation group was treated with PKP. The surgical trauma and hemorrhage, hospitalization time, and visual analog scale (VAS) were recorded, the complications of the two groups after operation were recorded. The height of the anterior border of the injured group, the change of the kyphosis Cobb angle, and the recovery of life function were compared between the two groups. Results The anterior height of the injured vertebrae in the two groups was higher than that before surgery, and the kyphosis Cobb Angle and Oswestry dysfunction index (ODI) score were lower than that before surgery, the differences were statistically significant (P ＜ 0.05). The ODI score of the observation group was lower than that of the control group after operation, and the difference was statistically significant (P ＜ 0.05). The VAS score of the observation group at three and seven days after surgery was lower than that before surgery, and at seven days after surgery was lower than that at three days after surgery, the differences were statistically significant (P ＜ 0.05), the VAS score of the control group at one day after surgery was higher than that before surgery, and at seven days after surgery was lower than that at three days after surgery and before surgery. VAS scores of the observation group at one, three and seven days after surgery were lower than those of the control group, the differences were statistically significant (P ＜ 0.05). The incidence of postoperative complications in the observation group was lower than that in the control group, the difference was statistically significant (P ＜ 0.05). Conclusion The PKP is effective in the treatment of Ao-a thoracolumbar fractures, which helps to reduce postoperative pain and promote early rehabilitation.

Key words： Wiltse incision and reduction Percutaneous kyphoplasty AO-A thoracolumbar fracture Pain degree

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	WANG Yong ZHANG Zhengshi CHEN Ji CHENG Bin TANG Guoqing

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WANG Yong ZHANG Zhengshi CHEN Ji CHENG Bin TANG Guoqing. Effect of percutaneous kyphoplasty in the treatment of AO-A thoracolumbar fractures#br#[J]. 中国医药导报, 2022, 19(9): 91-94.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I9/91

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