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[1]胡勇,賴歐杰.Kmmell病的發(fā)生機(jī)制、影像學(xué)表現(xiàn)及治療[J].中醫(yī)正骨,2018,30(06):1-3.
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Kümmell病的發(fā)生機(jī)制、影像學(xué)表現(xiàn)及治療()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年06期
頁碼:
1-3
欄目:
專家述評(píng)
出版日期:
2018-06-20

文章信息/Info

作者:
胡勇賴歐杰
浙江省寧波市第六醫(yī)院,浙江 寧波 315040
關(guān)鍵詞:
脊柱骨折mmell病 述評(píng)
文獻(xiàn)標(biāo)志碼:
A
摘要:
Kümmell病主要表現(xiàn)為遲發(fā)性椎體塌陷及其所致的脊柱后凸畸形和神經(jīng)功能損害。該病的發(fā)生機(jī)制目前尚無定論,可能是椎體缺血壞死、骨折后椎體內(nèi)假關(guān)節(jié)形成等多個(gè)因素相互作用、相互影響所致。目前還沒有針對(duì)該病影像學(xué)診斷的金標(biāo)準(zhǔn),但X線、CT提示的椎體塌陷、椎體內(nèi)真空裂隙形成及MRI中的雙線征可作為影像學(xué)診斷的依據(jù)。對(duì)于椎體后壁完整、無嚴(yán)重脊柱后凸畸形及神經(jīng)功能損害的Ⅰ、Ⅱ期Kümmell病,采用經(jīng)皮椎體成形術(shù)或經(jīng)皮椎體后凸成形術(shù)治療能夠取得良好的療效; 對(duì)于Ⅲ期Kümmell病,選擇開放性手術(shù)治療更為恰當(dāng),但術(shù)式的選擇須綜合考慮術(shù)者的經(jīng)驗(yàn)、脊柱后凸畸形程度及神經(jīng)功能損害程度等多方面因素。

參考文獻(xiàn)/References:

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更新日期/Last Update: 2018-10-30