【摘要】：目的探討骨質(zhì)疏松性椎體骨折PKP術(shù)后再發(fā)椎體骨折的危險(xiǎn)因素,并提出對(duì)應(yīng)的防治策略。方法對(duì)2007-01-2013-01本院行經(jīng)皮球囊擴(kuò)張椎體后凸成形術(shù)(percutaneous kyphoplasty,PKP)治療的425例骨質(zhì)疏松性椎體骨折患者進(jìn)行回顧性分析�；颊叻譃樵侔l(fā)椎體骨折組和未再發(fā)椎體骨折的對(duì)照組。對(duì)兩組患者基本情況、影像學(xué)資料、手術(shù)相關(guān)因素以及抗骨質(zhì)疏松治療進(jìn)行分析。研究各因素與再發(fā)椎體骨折的關(guān)系。結(jié)果再發(fā)椎體骨折組(18例)比對(duì)照組(407例)骨密度低,平均骨折椎體數(shù)多,局部后凸角度大,椎體平均注入骨水泥量多,抗骨質(zhì)疏松治療依從性差,上述差異均有統(tǒng)計(jì)學(xué)意義。而兩組在年齡、性別方面差異無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論骨密度低、多椎體骨折、術(shù)后病椎后凸角度大、椎體注入骨水泥量多、抗骨質(zhì)疏松治療依從性差,都是再發(fā)椎體骨折的危險(xiǎn)因素。針對(duì)上述危險(xiǎn)因素進(jìn)行干預(yù),可以降低再發(fā)椎體骨折的風(fēng)險(xiǎn)。
[Abstract]:Objective to investigate the risk factors of recurrent vertebral fracture after PKP, and to put forward corresponding prevention and treatment strategies. Methods 425 cases of osteoporotic vertebral fracture treated by percutaneous balloon dilation vertebroplasty (percutaneous kyphoplasty) in our hospital from January to January, 2007 were retrospectively analyzed. The patients were divided into recurrent vertebral fracture group and control group without recurrent vertebral fracture. The basic condition, imaging data, operative factors and anti-osteoporosis treatment were analyzed. To study the relationship between various factors and recurrent vertebral body fracture. Results the bone mineral density (BMD) of the recurrent vertebral fracture group (18 cases) was lower than that of the control group (407 cases). There were significant differences in the number of vertebral bodies, the local kyphoid angle, the average amount of bone cement injected into the vertebral body and the poor compliance in the treatment of osteoporosis. There was no significant difference in age and sex between the two groups. Conclusion low bone mineral density, multiple vertebral body fracture, large kyphosis angle after operation, large amount of cement injected into the vertebral body and poor compliance against osteoporosis are all risk factors for recurrent vertebral body fracture. Intervention against these risk factors can reduce the risk of recurrent vertebral fracture.
【作者單位】： 解放軍第117醫(yī)院骨科;
【分類號(hào)】：R687.3

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