| 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. |
对有骨水泥渗漏的经皮椎体成形术效果的临床分析  点此下载全文 (Fulltext) |
| 张亚东 陈豪杰 王嘉 蔡振宇 张向阳 |
| 200336 上海, 上海市长宁中心医院骨科;200336 上海, 上海市长宁中心医院骨科;200336 上海, 上海市长宁中心医院骨科;200336 上海, 上海市长宁中心医院骨科;200336 上海, 上海市长宁中心医院骨科 |
| 基金项目： |
| DOI： |
| 摘要点击次数: 1072 |
| 全文下载次数: 937 |
| 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6.23 ml。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3 d、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SAS 6.12。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 |
| The clinical analysis of the efficacy of percutaneous vertebraoplasty with polymethylmethacrylate leakage Fulltext |
| ZHANG Yadong CHEN Haojie WANG Jia CAI Zhenyu ZHANG Xiangdong |
| Department of orthopaedics, Shanghai Changning Dirstrict Center Hospital, Shanghai 200336, China;Department of orthopaedics, Shanghai Changning Dirstrict Center Hospital, Shanghai 200336, China;Department of orthopaedics, Shanghai Changning Dirstrict Center Hospital, Shanghai 200336, China;Department of orthopaedics, Shanghai Changning Dirstrict Center Hospital, Shanghai 200336, China;Department of orthopaedics, Shanghai Changning Dirstrict Center Hospital, Shanghai 200336, China |
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| 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 |
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