首页 | 本学科首页   官方微博 | 高级检索  
检索        

对有骨水泥渗漏的经皮椎体成形术效果的临床分析
引用本文:张亚东,陈豪杰,王嘉,蔡振宇,张向阳.对有骨水泥渗漏的经皮椎体成形术效果的临床分析[J].脊柱外科杂志,2007,5(3):141-144.
作者姓名:张亚东  陈豪杰  王嘉  蔡振宇  张向阳
作者单位:200336,上海,上海市长宁中心医院骨科
摘    要:目的探讨经皮椎体成形术中并发骨水泥渗漏患者的临床效果。方法29例椎体疾病患者的37个患椎中,椎体骨折21例24个椎体,转移性肿瘤2例5个椎体,椎体血管瘤6例8个椎体。骨水泥经皮注入椎体灌注成形,平均注入量6.23ml。结果术中有14例17椎骨水泥不同程度漏出,骨水泥渗漏率45.95%。平均随访12个月,统计术前,术后3d、1个月、3个月的VAS评分,对手术前、后和渗漏组与非渗漏组评分进行方差分析,统计学软件SAS6.12。手术前、后P<0.05,渗漏组与非渗漏组P>0.05。结论经皮椎体成型术对椎体骨折,椎体血管瘤,及椎体肿瘤的止痛效果明显。少量的骨水泥渗漏发生率较高,并不影响椎体成形术的手术效果。

关 键 词:脊柱疾病  手术中并发症  椎体成形术
文章编号:1672-2957(2007)03-0141-04
收稿时间:2007/3/21 0:00:00
修稿时间:2007-03-21

The clinical analysis of the efficacy of percutaneous vertebraoplasty with polymethylmethacrylate leakage
ZHANG Yadong,CHEN Haojie,WANG Ji,CAI Zhenyu and ZHANG Xiangdong.The clinical analysis of the efficacy of percutaneous vertebraoplasty with polymethylmethacrylate leakage[J].Journal of Spinal Surgery,2007,5(3):141-144.
Authors:ZHANG Yadong  CHEN Haojie  WANG Ji  CAI Zhenyu and ZHANG Xiangdong
Institution:Department of orthopaedics, Shanghai Changning Dirstrict Center Hospital, Shanghai 200336, China
Abstract:Objective To investigate the effect of PMMA leak on the results of PVP. Methods 29 cases containing 37 vertebraes were injected with PMMA percutaneously. There were 21 cases with vertebral fractures (24 vertebras), 2 cases with metastases (5 vertebraes), 6 cases with vertebral hemangiomas (8 vertebraes). The average injection dose was 6.23ml. Results PMMA leakage was observed in 17 vertebrae of 14 cases, the percentage of leaking was 45.95%. The average follow-up period was 12 mouths. Statistical analysis using SAS 6.12 software was done after comparing postoperative with preoperative and comparing non-leakage with leakage, the former value of P was < 0.05, the latter value of P was >0.05. Conclusion The relief of back pain was the prominent effect of PVP, and a small amount of PMMA leakage didn't affect the effectiveness of PVP.
Keywords:spinal diseases  intraoperative complications  vertebraoplasty
本文献已被 CNKI 维普 万方数据 等数据库收录!
点击此处可从《脊柱外科杂志》浏览原始摘要信息
点击此处可从《脊柱外科杂志》下载免费的PDF全文
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号