中国组织工程研究2017，Vol.21Issue(30)：4763-4768,6.DOI:10.3969/j.issn.2095-4344.2017.30.002
椎体成形治疗中骨水泥渗漏的因素与临床分析
Cement leakage factors in clinical vertebroplasty
摘要
Abstract
BACKGROUND: Vertebroplasty (PVP) and kyphoplasty (PKP) are important methods for the treatment of osteoporotic vertebral compression fractures in the elderly. Although bone cement has certain liquidity and vertebral fractures are often in different situations, bone cement leakage rate is still high. OBJECTIVE: Based on the theoretical discussion and clinical analysis, to study the theoretical causes of bone cement leakage and effective prevention methods. METHODS: A total of 162 cases (186 vertebrae) were treated with three methods of vertebroplasty. Group A: 64 cases with 78 vertebrae were treated with conventional cemented vertebroplasty; Group B: 57 cases with 65 vertebrae were treated with cemented vertebroplasty using cement pump; Group C: 41 cases with 43 vertebrae were treated with balloon kyphoplasty. The leakage of bone cement was observed in three groups. RESULTS AND CONCLUSION: Of the 186 vertebrae, postoperative bone cement leakage occurred in 25 vertebrae, with the leakage rate of 13% (25/186). Group A had bone cement leakage in 11 vertebrae, and the leakage rate was 14% (11/78). Group B had bone cement leakage in 8 vertebrae, and the leakage rate was 12% (8/65). Group C had bone cement leakage in 6 vertebrae, and the leakage rate was 14% (6/43). There was no significant difference among the three groups in the leakage rate of bone cement (P > 0.05). That is to say, the causes of bone cement leakage are not completely controllable, and the leakage position has some randomness. Strict and careful imaging monitoring is an intuitive method to prevent bone cement leakage.关键词
生物材料/骨生物材料/经皮椎体成形术/骨质疏松/脊柱骨折/骨水泥渗漏/并发症分类
医药卫生引用本文复制引用
陈家麟,陈晞,杨军,王俊,耿天勇,安成玲,胡婷业..椎体成形治疗中骨水泥渗漏的因素与临床分析[J].中国组织工程研究,2017,21(30):4763-4768,6.基金项目
安徽省滁州市科技局科研指导项目(201403)the Scientific and Technology Guiding Project of Chuzhou Municipal Science and Technology Department, No. 201403 （201403）
