期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

经皮椎体成形术治疗骨质疏松性椎体压缩骨折 被引量：2

下载PDF
导出
摘要 目的探讨经皮椎体成形术治疗骨质疏松性椎体压缩骨折的临床效果。方法31例患者46个椎体,其中胸椎18个,腰椎28个。在透视监控下经皮穿刺,经椎弓根入路,向椎体内注入骨水泥。结果椎体容积由术前的(21.8±8.4)cm3增至术后的(24.5±6.4)cm3,前后比较差异有统计学意义(P<0.05)。25例术后2d能佩戴腰围下床活动。31例病人疼痛在术后均有不同程度缓解,疼痛强度评价的视觉类比评分术后48h为(2.4±3.5)分,较术前(8.2±1.4)分显著下降(P<0.01)。24例患者术后3d出院,5例患者术后7d出院,2例患者术后14d出院。5个椎体(12.2%)发生骨水泥外溢。术后随访8～18个月,平均14个月,无椎体塌陷、疼痛复发,无神经根及脊髓损伤。结论经皮椎体成形术是一种比较安全、操作简单、并发症少及有效缓解疼痛和稳定椎体的微创治疗方法。
作者 徐海波 张官华 张荣金 曾逸文
机构地区 南京市栖霞区医院骨科 南京医科大学附属南京第一医院骨科
出处 《中国厂矿医学》 2008年第6期681-682,共2页 Chinese Medicine of Factory and Mine
关键词 骨质疏松 椎体压缩骨折 椎体成形术
分类号 R681 [医药卫生—骨科学] R683.2 [医药卫生—骨科学]
  • 相关文献

参考文献8

  • 1Cotten A, Boutry N, Cottet B, et al, Percutaneous vertebroplasty: state of the art [ J ]. Radiographies, 1998,18:311 - 320.
  • 2Muto M,Muto E,Izzo R,et al. Vertebroplasty in the treatment of back pain[ J ]. Radiol Med ,2005,109:208 - 219.
  • 3Lieberman IH, Dudeney S, Reinhardt MK,et al. lnitiai outcome and efficacy of "Kyphoplasty" in the treatment of painful osteoporotic vertebral compression fractures[J]. Spine,2001,26:1631 -1638.
  • 4Cotlen A, Dewatre F, Cortet B, et al. Percutaneous vertebroplasty for osteolytic metastases and myeloma: effects of the percentage of lesion filling and the leakage of methyl methaerylate at clinical follow - up [ J ]. Radiology, 1996,200: 525 - 530.
  • 5Liebsehner MA, Rosenberg WS, Keaveny TM. Effects of bone cement volume and distribution on vertebral stiffness after vertebroplasty [ J ]. Spine,2001,26 : 1547 - 1554.
  • 6Komemushi A, Tanigawa N, Kariya S,et al. Percutaneous vertebroplasty for compression fracture : analysis of vertebral body volume by CT volumetry[ J], Acta Radiol,2005 ,46 :276 - 279.
  • 7Brown DB, Glaiberman CB, Gilula LA, et al. Correlation between pro-procedural MRI findings and clinical outcomes in the treatment of chronic symptomatic vertebral compression fractures with percutaneous vertebroplasty [ J ]. AIR Am J Roentgeno1,2005,184 : 1951 - 1955.
  • 8Syed MJ, Patel NA, Jan S, et al. New symptomatic vertebral compression fractures within a year following vertebroplasty in osteoporotic women[J]. AJNR Am J Neuroradiol,2005,26 : 1601 - 1604.

同被引文献20

  • 1郑召民,李佛保.经皮椎体成形术和经皮椎体后凸成形术——问题与对策[J].中华医学杂志,2006,86(27):1878-1880. 被引量：223
  • 2郑召民.经皮椎体成形术和经皮椎体后凸成形术灾难性并发症——骨水泥渗漏及其预防[J].中华医学杂志,2006,86(43):3027-3030. 被引量：138
  • 3Gabbert P, Deramond H, Rosat P, et al. Prelilllinally note on the treatment of rertebrM anginma . bypercutaneous aerytie vertebroplasty. Neurechirursle, 1987,33 ( 2 ) : 166-168.
  • 4Lim TH, Brebach GT. Biomeehanical evaluation Of an injectable calcium phosphate cemeng for vertebroplasty. Spine, 2002,27 ( 3 ) : 1297-1302.
  • 5Anselmetli GC, Corgnier A, Debemardi E el a]. Treatment of painful compression vertebral fractures with vertebroplasty: results and complications [J]. Radiol Med. 2005, 110(3): 262-272.
  • 6Myles PS, Troedel S, Boquest M, et al. The pain visual analog scale:is it linear or nonlinear? [J]. Anesth Analg, 1999, 89(6): 1517-1520.
  • 7Galibert P, Deramond H, Rosat P, et al. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty[J]. Neurochirurgie, 1987, 33(2): 166-168.
  • 8Lieberman I, Reinhardt MK. Vertebroplasty and kyphoplasty for osteolytic vertebral collapse [J]. Clin Orthop Relat Res, 2003, (415 Suppl): S176-S186.
  • 9Molloy S, Mathis JM, Belkoff SM. The effect of vertebral body percentage fill on mechanical behavior during per-cutaneous vertebroplasty [J]. Spine, 2003, 28(14): 1549-1554.
  • 10Yeom JS, Kim WJ, Choy WS, et al. Leakage of cement in percutaneous transpedicular vertebroplasty for painful os- teoporotic compression fractures [J]. J Bone Joint Surg Br, 2003, 85(1): 83-89.

引证文献2

二级引证文献3

中国厂矿医学
2008年 第6期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部