经皮椎体成形术骨水泥渗漏的危险因素研究进展 |
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引用本文: | 贾鑫,靳激扬.经皮椎体成形术骨水泥渗漏的危险因素研究进展[J].国际医学放射学杂志,2018,41(4):450-453. |
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作者姓名: | 贾鑫 靳激扬 |
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作者单位: | 东南大学 |
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摘 要: | ?骨质疏松性椎体压缩骨折病人会出现严重的疼痛症状,经皮椎体成形术已成为治疗该疾病的一种重要方法。但椎体成形术需要经皮穿刺向病椎注入骨水泥,而骨水泥渗漏有可能会导致椎体再骨折、肺栓塞、脊髓压迫所致截瘫等严重的并发症。了解术前椎体的某些重要影像征象(如骨皮质不完整、椎体终板损伤、骨折程度严重、骨密度高、椎体裂隙征等)对骨水泥渗漏的影响,并对此采取防范措施有着非常重要的临床意义。就影响骨水泥渗漏的术前危险因素予以综述。
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关 键 词: | 经皮椎体成形术 骨水泥 渗漏 术前 椎体特征 |
收稿时间: | 2017-10-05 |
Study progress in identificating risk factors of bone cement leakage in vertebroplasty |
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Abstract: | Patientswithosteoporoticvertebralcompressionfractures(OVCFS)maydevelopseverepainsymptoms.Percutaneousvertebroplasty(PVP)isanimportantmethodforthetreatmentofthedisease.However,vertebroplastyisrequiredtoinjectbonecementintothevertebralbodythroughthepercutaneouspuncture,andtheleakageofbonecementcanleadtoseriouscomplicationssuchasvertebralrefracture,pulmonaryembolism,andspinalcordcompressionwhichmayleadtoparaplegia.Itisveryimportanttounderstandtheinfluenceofsomeimportantimagingsignsontheleakageofbonecement(includingcorticaldisruption,vertebralendplateinjury,highfractureseverity,highbonemineraldensity,intravertebralcleft,etc),andtotakepreventivemeasuresinadvance.Thepreoperativeriskfactorsaffectingbonecementleakageweremainlyreviewedinthispaper. |
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Keywords: | Percutaneous vertebroplasty Bone cement Leakage Preoperative Vertebral body characteristics |
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