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唑来膦酸联合 PVP 技术治疗绝经后骨质疏松性椎体压缩骨折中 IL-17 的表达变化及其复发的预测价值。

Expression changes of IL-17 in zoledronic acid combined with PVP technology in the treatment of postmenopausal osteoporotic vertebral compression fracture and its predictive value of relapse.

机构信息

Spine Surgery Department of Orthopedic Center, People's Hospital of Xinjiang Uygur Autonomous Region, P.R. China.

Department of Blood Transfusion, The First Affiliated Hospital of Xinjiang Medical University, P.R. China.

出版信息

J Musculoskelet Neuronal Interact. 2020 Dec 1;20(4):563-569.

Abstract

OBJECTIVE

To investigate the expression of interleukin-17 (IL-17) in zoledronic acid combined with PVP technology for patients with postmenopausal osteoporotic vertebral compression fracture (OVCF) and its predictive value for relapse.

METHODS

101 OVCF patients treated in our hospital from April 2013 to January 2015 were collected as a research group and treated by zoledronic acid combined with PVP technology. 80 healthy people with physical examination were assigned to the control group. ELISA was used to detect the expression of IL-17 in serum of the two groups. Patients were followed up for 2 years. The expression of IL-17 before treatment was compared between patients with relapse and patients without relapse. The predictive value of IL-17 in relapse was drawn according to ROC curve.

RESULTS

Before treatment, the expression of IL-17 in the research group increased significantly (p<0.05). After treatment, the expression of IL-17 in the research group decreased significantly (p<0.05). The level of IL-17 in patients with relapse was significantly higher than that in patients without relapse (p<0.05).

CONCLUSIONS

IL-17 is highly expressed in postmenopausal patients with osteoporotic vertebral compression fracture and is expected to be a potential predictor of relapse in postmenopausal patients with OVCF.

摘要

目的

探讨唑来膦酸联合 PVP 技术治疗绝经后骨质疏松性椎体压缩性骨折(OVCF)患者中白细胞介素-17(IL-17)的表达及其对复发的预测价值。

方法

收集我院 2013 年 4 月至 2015 年 1 月收治的 101 例 OVCF 患者作为研究组,采用唑来膦酸联合 PVP 技术进行治疗。选取同期 80 名健康体检者作为对照组。采用 ELISA 法检测两组血清中 IL-17 的表达。对患者进行 2 年随访,比较复发患者与未复发患者治疗前 IL-17 的表达,根据 ROC 曲线绘制 IL-17 对复发的预测价值。

结果

治疗前,研究组 IL-17 表达明显升高(p<0.05)。治疗后,研究组 IL-17 表达明显降低(p<0.05)。复发患者 IL-17 水平明显高于未复发患者(p<0.05)。

结论

绝经后骨质疏松性椎体压缩性骨折患者中 IL-17 呈高表达,有望成为绝经后 OVCF 患者复发的潜在预测因子。

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