本文關(guān)鍵詞： 骨質(zhì)疏松性胸腰椎骨折 椎體靜脈造影 經(jīng)皮椎體成形術(shù) 椎體真空征　出處：《中國骨與關(guān)節(jié)損傷雜志》2016年11期 　論文類型：期刊論文

【摘要】：目的探討椎體靜脈造影在經(jīng)皮椎體成形術(shù)(PVP)治療伴有椎體真空征的骨質(zhì)疏松性胸腰椎骨折中的應用。方法回顧性分析自2010-02—2015-02采用PVP治療的73例(73個椎體)椎體內(nèi)真空裂隙骨質(zhì)疏松性胸腰椎骨折。術(shù)中行椎體靜脈造影后注射骨水泥。觀察造影劑的滲漏情況及其在椎體內(nèi)的分布特征,記錄術(shù)中骨水泥注入量,比較術(shù)前、術(shù)后1個月、術(shù)后1年的VAS評分及ODI指數(shù)。結(jié)果術(shù)中椎體靜脈造影后透視顯示66例(90.4%)造影劑均在椎體內(nèi)、裂隙內(nèi)填充;7例(9.6%)有造影劑滲出,其中3例為椎體周圍滲漏,2例為椎間盤滲漏,2例為椎管內(nèi)滲漏。骨水泥注入量3.1~5.5 ml,平均4.2 ml。本組均獲得隨訪12~24個月,平均18個月。術(shù)后1個月、1年的VAS評分及ODI指數(shù)較術(shù)前明顯降低,差異有統(tǒng)計學意義(P0.05)。術(shù)后1年與術(shù)后1個月的VAS評分、ODI指數(shù)比較差異無統(tǒng)計學意義(P0.05)。結(jié)論 PVP治療伴有椎體真空征的骨質(zhì)疏松性椎體骨折術(shù)中行椎體靜脈造影能夠預見骨水泥流動分布特征以減少骨水泥的滲出,提高手術(shù)安全性。
[Abstract]:Objective to investigate the vertebral venography in percutaneous vertebroplasty (PVP) with osteoporotic thoracolumbar vertebral fractures treated with vacuum sign in. Methods a retrospective analysis of 73 cases of 2010-02 2015-02 treated with PVP (73 vertebrae) intravertebral vacuum fractured osteoporotic thoracolumbar fracture underwent vertebral vein. After contrast injection of bone cement. Observation of contrast agent leakage and its distribution in the vertebral body, bone cement injection volume were recorded and compared before surgery, 1 months after surgery, 1 years of VAS score and ODI index after operation. Results the vertebral vein was developed in 66 cases (90.4%) revealed contrast agent in the vertebral body, the fissure filling; 7 cases (9.6%) with contrast extravasation, including 3 cases of vertebral body around 2 cases of intervertebral disc leakage, leakage, 2 cases of spinal canal leakage. Bone cement injection was 3.1~5.5 ml, average 4.2 ml. in this group were followed up for 12~24 months, Ping An average of 18 months. 1 months after surgery, 1 years of VAS score and ODI index decreased significantly, the difference was statistically significant (P0.05). After 1 years and 1 months after surgery, the VAS score, there was no significant difference between the ODI index (P0.05). Conclusion osteoporotic vertebral PVP treatment with vertebral fractures underwent vacuum sign vertebral venography can predict the flow and distribution of bone cement to reduce bone cement leakage, improve the safety of operation.

【作者單位】： 石河子市人民醫(yī)院骨科;
【基金】：石河子市科學技術(shù)局基金資助項目(2013YL04)
【分類號】：R580;R687.3

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