临床骨科杂志2016，Vol.19Issue(4)：430-433,4.DOI:10.3969/j.issn.1008-0287.2016.04.018
胸腰椎骨折椎体强化术中骨水泥渗漏率分析
Retrospective analysis of the incidence of bone cement leakage after percutaneous vertebro-plasty
郑志荣 1叶小雨 1杨益宇 1葛成孟 1王冠华 1许兵1
作者信息
- 1. 浙江中医药大学附属温州市中西医结合医院脊柱科，浙江温州 325000
- 折叠
摘要
Abstract
Objective To analyze the incidence rate of bone cement leakage in thoracolumbar fractures treated with percutaneous vertebroplasty(PVP) or percutaneous kyplasty(PKP). Methods A total of 550 patients were en-rolled, who had 650 thoracolumbar osteoporotic compression fractures and 61 critical crack fractures and received PVP(201 vertebraes) or PKP(510 vertebraes). Every patient received X-ray examination postoperatively. Results Statistics showed that 135 vertebraes (18. 99%) had bone cement leakage,including 72 vertebraes (10. 12%) after PVP and 63 vertebraes (8. 86%) after PKP. All patients were followed up in period of 3~24 months,all patients′pain had obviously relief by VAS after the operation. There were 6 types of leakage:75 vertebraes (10. 55%) pres-ented perivertebral leakage, 25 vertebraes (3. 52%) presented intervertebral leakage, 16 vertebraes(2. 25%) pres-ented the leakage of the spinal canal, 10 vertebraes (1. 41%) presented bone cement into the needle channel, 9 ver-tebraes (1. 26%) had the leakage of the intervertebral vein, none of them presented foramen leakage. The complica-tions of bone cement leakage happened with 45 vertebras L1 for the most (33. 33%). Three patients slightly had the respiratory distress and relieved by oxygen inhalation. Other patients didn′t have obvious discomfort. Conclusions The rate of bone cement leakage is considerably big. The leakage in the canalis spinalis is small. But few patients have obvious clinical symptoms.关键词
椎体强化术/骨水泥渗漏率/胸腰椎骨折Key words
percutaneous vertebral augmentation/bone cement leakage/thoracolumbar fractures分类
医药卫生引用本文复制引用
郑志荣,叶小雨,杨益宇,葛成孟,王冠华,许兵..胸腰椎骨折椎体强化术中骨水泥渗漏率分析[J].临床骨科杂志,2016,19(4):430-433,4.
