分子影像学杂志2025，Vol.48Issue(3)：360-364,5.DOI:10.12122/j.issn.1674-4500.2025.03.16
CT值在可评估骨质疏松性胸腰椎骨折经皮椎体成形术术后骨水泥渗漏情况中的价值
Evaluation value of CT value in bone cement leakage after percutaneous vertebroplasty in osteoporotic thoracolumbar fractures
摘要
Abstract
Objective To investigate the value of CT values in evaluating bone cement leakage after percutaneous vertebroplasty(PVP)in osteoporotic thoracolumbar fractures.Methods A retrospective analysis was performed on the clinical and imaging data of 74 patients(103 vertebrae totally)with osteoporotic fractures of the thoracolumbar spine who underwent percutaneous vertebroplasty from March 2022 to December 2023 in High-end Orthopedic Hospital and Foshan Sanshui Zengkang Neck and Lumbar Hospital.Among them,there were 23 males and 51 females,aged 53-94 years old with an average age of 74.0±9.4 years old.Comparisons were made in terms of age and L1 vertebral CT values,and the CT values of adjacent vertebrae for various types of bone cement leakage.Results Among the 74 patients,55(74.3%)experienced bone cement leakage,and these patients shared older ages and lower CT values of L1 vertebrae.Among the 103 vertebrae,69(67.0%)exhibited bone cement leakage,including intervertebral disc leakage(17 vertebrae,24.6%),paravertebral venous leakage(38 vertebrae,55.1%),paravertebral soft tissue leakage(15 vertebrae,21.8%),basivertebral venous leakage(14 vertebrae,20.3%),and needle tract leakage(4 vertebrae,5.8%).Compared to vertebrae without leakage,adjacent vertebrae with intervertebral disc leakage had significantly lower CT values,while CT values did not differ significantly for other types of leakage.Conclusion CT values of L1 and adjacent vertebrae are correlated with bone cement leakage after percutaneous vertebroplasty for osteoporotic vertebral compression fractures,indicating a certain guiding value in assessing bone cement leakage.关键词
椎体成形术/骨水泥渗漏/体层摄影术/X线计算机/CT值Key words
percutaneous vertebroplasty/bone cement leakage/tomography/X-ray computed/CT value引用本文复制引用
陈建福,陈逸瑞,朱振禄,翁就炎,刘鑫,崔运能..CT值在可评估骨质疏松性胸腰椎骨折经皮椎体成形术术后骨水泥渗漏情况中的价值[J].分子影像学杂志,2025,48(3):360-364,5.基金项目
佛山市自筹经费类科技创新项目(2220001005062) （2220001005062）
佛山市医学影像精准诊断工程技术研究中心项目(FSOAA-KJ819-4901-0049) （FSOAA-KJ819-4901-0049）
