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PVP术骨水泥形态类型与术后伤椎高度丢失的关系研究

林上进 林伟龙 杨丰建 陈聪 许乐洋 潘依潇 范永前

老年医学与保健2017,Vol.23Issue(4):309-313,5.
老年医学与保健2017,Vol.23Issue(4):309-313,5.

PVP术骨水泥形态类型与术后伤椎高度丢失的关系研究

Relation between Bone Cement Dispersion Type and Fractured Vertebral Height Loss after Percutaneous Vertebroplasty

林上进 1林伟龙 1杨丰建 1陈聪 1许乐洋 1潘依潇 1范永前1

作者信息

  • 1. 复旦大学附属华东医院骨科,上海200040
  • 折叠

摘要

Abstract

Objective To investigate the relationship between bone cement dispersion types and fractured vertebral height loss after percutaneous vertebroplasty (PVP).Methods A retrospective analysis was made to the clinical data of 79 elderly patients with single segment vertebral compression fracture undergoing PVP during the period from June 1,2012 to June 1,2016;according to the X-ray radiographs and CT scans,all subjects were divided into 2 groups:mass type group [n =30,average age:(79.5 ± 8.6) years] and diffusion type group [n =49,average age:(76.0 ± 8.8) years];the fractured vertebral height compression rate,the volume of bone cement filled,the operation time length,the fractured vertebral height restoration rate,6-month postoperative vertebral height loss rate,the postoperative local Cobb angle and bone cement leakage rate in the 2 groups were recorded respectively and a comparative study was made.Results There was no significant difference in age,sex,body mass index,the levels of serum calcium and phosphorus,bone mineral density,fractured vertebral height restoration rate and postoperative local Cobb angle between the 2 groups (P> 0.05) while the preoperative fractured vertebral height compression rate and postoperative vertebral height loss rate in diffusion type group were significantly lower than those in mass type group (P<0.05).Conclusions Bone cement mass dispersion maybe an important risk factor for fractured vertebral height loss after PVP.

关键词

骨水泥形态/经皮椎体成形术/椎体高度丢失

Key words

bone cement dispersion/percutaneous vertebroplasty (PVP)/vertebral height loss

引用本文复制引用

林上进,林伟龙,杨丰建,陈聪,许乐洋,潘依潇,范永前..PVP术骨水泥形态类型与术后伤椎高度丢失的关系研究[J].老年医学与保健,2017,23(4):309-313,5.

基金项目

上海市卫生和计划生育委员会课题(140612111756534) (140612111756534)

上海市自然科学基金项目(15411951500) (15411951500)

上海市卫生计生系统重要薄弱学科建设(2015ZB0501) (2015ZB0501)

老年医学与保健

OACSTPCD

1008-8296

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