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[1]劉相英,劉建軍,李士民.應(yīng)用浸骨水泥明膠海綿預(yù)防經(jīng)皮椎體成形術(shù)中骨水泥滲漏[J].中醫(yī)正骨,2018,30(10):74.
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應(yīng)用浸骨水泥明膠海綿預(yù)防經(jīng)皮椎體成形術(shù)中骨水泥滲漏()
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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10期
頁碼:
74
欄目:
臨床報道
出版日期:
2018-10-20

文章信息/Info

作者:
劉相英劉建軍李士民
(河南省滑縣骨科醫(yī)院,河南 滑縣 456485)
關(guān)鍵詞:
脊柱骨折 骨質(zhì)疏松性骨折 椎體成形術(shù) 明膠海綿吸收性 骨水泥
摘要:
目的:探討應(yīng)用浸骨水泥明膠海綿預(yù)防經(jīng)皮椎體成形術(shù)(percutaneous vertebroplasty,PVP)中骨水泥滲漏的可行性。方法:2013年6月至2017年11月收治新鮮椎體壓縮骨折(T4~L5)患者415例。男175例,女240例; 年齡58~104歲,中位數(shù)75歲; 單椎體病變324例,雙椎體病變78例,三椎體病變13例; 均合并骨質(zhì)疏松癥。采用PVP治療,術(shù)中注入骨水泥之前以浸骨水泥明膠海綿顆粒封閉椎體邊緣破損處。結(jié)果:本組415例519椎,經(jīng)術(shù)中X線透視和術(shù)后CT掃描發(fā)現(xiàn)23例發(fā)生骨水泥滲漏,其中經(jīng)上終板滲漏11例、下終板滲漏8例、側(cè)方滲漏4例,未發(fā)生骨水泥經(jīng)椎體后緣、前緣和椎基靜脈孔滲漏。結(jié)論:應(yīng)用浸骨水泥明膠海綿可有效預(yù)防PVP術(shù)中骨水泥滲漏,而且術(shù)中可在X線透視下實時看到封堵區(qū)域。

參考文獻/References:


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通訊作者:劉相英 E-mail:[email protected]
更新日期/Last Update: 2019-02-25