| 操作路径在经皮椎体后凸成形术中预防骨水泥渗漏的作用 |
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| 引用本文： | 王云清,汪明星,魏东,闫长明,李华,王斌. 操作路径在经皮椎体后凸成形术中预防骨水泥渗漏的作用[J]. 临床骨科杂志, 2011, 14(6): 639-641 |
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| 作者姓名： | 王云清 汪明星 魏东 闫长明 李华 王斌 |
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| 作者单位： | 徐州医学院第二附属医院骨科,江苏,徐州,221006 |
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| 基金项目： | 徐州市科学技术局自然科学基金[编号:XF11(104)] |
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| 摘 要： | 目的探讨设计的操作路径方案在经皮椎体后凸成形术(PKP)中预防骨水泥渗漏的作用。方法对不同时间段收治的292例患者(392椎),分别采用未实施操作路径(实施前组183椎),实施操作路径(实施后组209椎),统计分析两组治疗中出现的骨水泥渗漏变化,并同时对患者术前、术后疼痛进行VAS评价。结果实施前组29椎出现骨水泥渗漏(15.85%),实施后组12椎出现骨水泥渗漏(5.74%),两者比较差异有统计学意义(P<0.01)。VAS平均值:术前1 d为7.56分±0.65分,术后3 d为2.12分±0.95分,术后3个月为2.69分±1.16分,与术前1 d比较差异有统计学意义(P<0.05),术后3 d与术后3个月比较差异无统计学意义(P>0.05)。结论操作路径方案起到加强医疗管理、规范治疗行为、减少医源性失误作用,能有效降低和预防PKP治疗中骨水泥渗漏的发生。
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| 关 键 词： | 脊柱骨折 操作路径 椎体后凸成形术 骨水泥渗漏 预防 |
The role of operating routes in preventing bone cement leakage in percutaneous kyphoplasty |
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| WANG Yun-qing,WANG Ming-xing,WEI Dong,YAN Chang-ming,LI Hua,WANG Bin. The role of operating routes in preventing bone cement leakage in percutaneous kyphoplasty[J]. Journal of Clinical Orthopaedics, 2011, 14(6): 639-641 |
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| Authors: | WANG Yun-qing WANG Ming-xing WEI Dong YAN Chang-ming LI Hua WANG Bin |
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| Affiliation: | WANG Yun-qing,WANG Ming-xing,WEI Dong,YAN Chang-ming,LI Hua,WANG Bin(Dept of Orthopaedics,the Second Affiliated Hospital of Xuzhou Medical College,Xuzhou,Jiangsu 221006,China) |
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| Abstract: | Objective To study the role of operating routes in preventing bone cement leakage in percutaneous kyphoplasty.Methods 292 patients(392 vertebrae) were divided into non-receiving operating routes(before the implementation group of 183 vertebrae),and received operating routes(after the implementation group of 209 of vertebrae).Through collecting and analyzing,the bone cement leakage in two group was observed.VAS were used before and after operation.Results Before operating routes were adopted,bone cement leak... |
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| Keywords: | spinal fracture operating routes percutaneous kyphoplasty(PKP) bone cement leakage prevention |
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