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| 椎体成形术并补肾壮骨汤治疗骨质疏松性椎体压缩骨折 |
| PVP combined with nourishing the kidney and strong the bone agent for the treatment of osteoporotic vertebral compression fracture |
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| DOI：10.3969/j.issn.1006.7108.2012.08.017 |
| 中文关键词: 椎体成形术 补肾壮骨汤 骨质疏松 压缩性骨折 |
| 英文关键词:Vertebrolasty Nourishing the kidney and strong the bone agent Osteoporosis Compressive fracture |
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| 中文摘要: |
| 目的 观察经皮椎体成形术（PVP )配合补肾壮骨汤治疗骨质疏松性椎体压缩骨折的疗效。 方法42例（共60个椎体）骨质疏松性椎体压缩性骨折患者，随机分成治疗组21例和对照组21例， 治疗组采用PVP加补肾壮骨汤治疗，对照组只采用PVP治疗。分别在术前、术后8个月对患者的骨密度、疼痛、有无相邻椎体新发骨折进行分析。结果 手术均顺利完成，并无严重并发症发生。随访 12~20个月，平均15个月，治疗组疗效明显优于对照组，两组差异有统计学意义（P<0. 05 )；治疗组治疗后椎骨密度增加显著（P<0.01 )，治疗后两组间椎骨密度比较，差异有统计学意义（P<0.01 )。 结论 经皮椎体成形术后配合补肾壮骨汤，对患者的骨量增加、预防再新发骨折等方面，有较好效果。 |
| 英文摘要: |
| Objective To observe the efficacy of percutaneous vertebroplasty ( PVP ) combined with nourishing the kidney and strong the bone agent for the treatment of osteoporotic vertebral compression fractures. Methods A total of 42 patients ( 60 vertebrae ) with osteoporotic vertebral fractures were randomly divided into the treatment group ( 21 cases ) and the control group ( 21 cases ). Patients in the treatment group were treated with PVP combined with nourishing the kidney and strong the bone agent. Patients in the control group were merely treated with PVP. Bone mineral density ( BMD )，pain, and adjacent vertebral fracture were detected before the surgery and at 8-month follow up. Results All the operations were successfully completed with no major complications. Patients were followed up for 12-20 months with an average of 15 months. The curative effect in treatment group was superior to the control group, and the difference was statistically significant (P <0.05 ). BMD in the treatment group increased significantly (P < 0. 01 ). BMD of patients in the two groups was significantly different (P < 0. 01 ). Conclusion PVP combined with nourishing the kidney and strong the bone agent has significant efficacy to increase bone mass and prevent new bone fractures. |
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