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经皮椎体后凸成形术治疗椎体压缩性骨折围手术期并发症分析
引用本文:杨益民,任志伟,张 智,李 萌,王金堂.经皮椎体后凸成形术治疗椎体压缩性骨折围手术期并发症分析[J].中国脊柱脊髓杂志,2010,20(3):235-238.
作者姓名:杨益民  任志伟  张 智  李 萌  王金堂
作者单位:西安交通大学医学院第一附属医院骨科,710061,西安市
摘    要:目的:分析经皮椎体后凸成形术(PKP)治疗椎体压缩性骨折的围手术期并发症发生情况。方法:2006年11月~2008年12月采用PKP治疗53例椎体压缩性骨折患者,男20例,女33例;年龄56~76岁,平均65.3岁;单椎体骨折34例,双椎体骨折16例,三椎体骨折3例,共75个椎体,其中T1222个,T1119个,T107个,T71个,L118个,L24个,L33个,L41个。回顾总结其围手术期并发症发生情况。结果:共18例(34.0%)患者发生围手术期并发症,骨水泥相关并发症16例(30.2%),其中骨水泥渗漏7例,渗漏至椎间隙2例、椎旁软组织2例(1例引起左股神经症状)、椎体前方2例、椎弓根穿刺通道1例;骨水泥毒性反应4例,表现为短暂胸闷气短、血压下降,经静脉注射地塞米松10mg等处理后好转;手术椎体疼痛加重5例。非骨水泥相关并发症2例(3.8%),皆为穿刺引发神经症状,1例表现为右股前皮肤感觉减退,1例为左肋间神经痛。所有并发症经积极处理后均未导致严重后果。结论:PKP治疗椎体压缩性骨折的围手术期并发症并不少见,但有严重后果的并发症较少,应重视围手术期并发症的积极预防和处理。

关 键 词:经皮后凸成形术  并发症  椎体压缩性骨折
收稿时间:2009/11/9 0:00:00
修稿时间:2010/1/19 0:00:00

Perioperative complications of percutaneous kyphoplasty for vertebral compression fracture
YANG Yimin,REN Zhiwei,ZHANG Zhi.Perioperative complications of percutaneous kyphoplasty for vertebral compression fracture[J].Chinese Journal of Spine and Spinal Cord,2010,20(3):235-238.
Authors:YANG Yimin  REN Zhiwei  ZHANG Zhi
Institution:YANG Yimin,REN Zhiwei,ZHANG Zhi,et al Orthopedics Department of First Affiliated Hospital of Medical College of Xi\'an Jiaotong University,Xi\'an,710061,China
Abstract:Objective:To investigate the perioperative complications of percutaneous kyphoplasty(PKP) for vertebral compression fracture.Method:From November 2006 to December 2008,53 patients with vertebral compression fracture underwent PKP,there were 20 males and 33 females,with the age range from 56 to 76 years(average,65.3 years);34 cases had one level fracture,16 cases had two levels fracture,3 cases had three levels involved,there were a total of 75 vertebrae involved,which including 22 in T12,19 in T11,7 in T10,...
Keywords:Percvutaneous kyphoplasty  Complication  Vertebral compression fracture
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