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旋转3D-DA在经皮穿刺椎体成型术中的应用
引用本文:何明基,林建华,申刚,陈德基. 旋转3D-DA在经皮穿刺椎体成型术中的应用[J]. 实用医技杂志, 2007, 14(26): 3559-3561
作者姓名:何明基  林建华  申刚  陈德基
作者单位:广州医学院第二附属医院,广东,广州,510260
摘    要:目的:探讨旋转3D-DA采集重建术在经皮穿刺椎体成型术(PVP)中的应用价值。方法:32例完全符合PVP术适应证的椎体压缩性骨折患者,PVP术后马上行旋转3D-DA采集,以重建的三维影像来观察骨水泥的分布及作骨水泥渗漏并发症的评估,并与24 h后的CT相对照,比较两者的一致性。结果:32例3D-DA重建显示27例骨水泥分布于椎体内。3例出现椎旁前方渗漏,2例出现椎管和椎间盘渗漏并伴轻微神经症状,经及时处理后症状消失,本组无一例出现严重并发症。3D-DA图像和结果与24 h后的CT相对照是相符合的。结论:旋转3D-DA采集重建术具有术后即时进行而无需过床、操作简单快速、准确有效等优点,对PVP术后渗漏并发症的发现和及早防治有重要意义。

关 键 词:旋转3D-DA  椎体成型术  骨水泥  并发症
文章编号:1671-5098(2007)26-3559-03
收稿时间:2007-06-04

The Application of Rotate 3D-DA in the Percutaneous Vertebroplasty
HE Ming-ji,LIN Jian-hua,SHEN Gang,CHEN De-ji. The Application of Rotate 3D-DA in the Percutaneous Vertebroplasty[J]. Journal of Practical Medical Techniques, 2007, 14(26): 3559-3561
Authors:HE Ming-ji  LIN Jian-hua  SHEN Gang  CHEN De-ji
Affiliation:The Second Affiliated Hospital of Guangzhou Medical College, GuangZhou, Guangdong 510260, China
Abstract:Objective To evaluate the value of rotate 3D-DA in the Percutaneous Vertebroplasty(PVP).Methods 32 ca- ses which accorded with apply to PVP vertebra bodies compress fracture,rotate 3D-DA was done at once post PVP,The rebuil- ded pictures of 3D showed bone cement distribution,and evaluate the complications of bone cement leakage,The pictures of 3D-DA would be compared with the CT scan after 24 hours,whether they were consistent or not.Results 32 cases of rotate 3D-DA pictures showed 27 cases appeared bone cement were distributed in the vertebra bodies,3 cases appeared bone cement leakage to the front of the vertebra,2 cases appeared bone cement leakage to the vertebra tube and disk,these patients had slight nervous symptoms,and recovered after treatment.No severe complications were observed.The results of 3D-DA were consistent to the CT images and scan after 24 hours.Conclusion The technology of rotate 3D-DA collected and rebuilded has the advantages of immediately and not to need passing beds,simpl,quick,accurate,efficacious,It has the major importance in the discovery,prevention and treatment early of leakage complication post PVP.
Keywords:Rotate 3D-DA   Percutaneous Vertebroplasty   Bone cement    Complication
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