Kyphon球囊扩张后凸成形术的并发症及对策分析

Analysis of complications and countermeasures of balloon kyphoplasty

目的:分析Kyphon球囊扩张后凸成形术的并发症与对策。方法:回顾性分析我院应用后凸成形术治疗38例53个骨质疏松性椎体压缩性骨折的患者,记录围术期并发症的类型,分析其原因及采用的方法。结果:38例患者53个椎体顺利完成手术,术中渗漏发生9例,其中,静脉渗漏8例,椎弓根外渗漏1例,发生突发性低血压2例,无一例死亡,无一例发生切口感染。结论:应用Kyphon球囊扩张后凸成形术手术并发症发生率较高,通过采取相应的措施可以有效降低并发症的发生率,一般不引起临床不良后果。

Objective： To analyze the complications and countermeasures of the balloon kyphoplasty. Methods： 38 patients with 53 osteoporotic vertebral compression fracture treated with balloon kyphoplasty were retrospectively analyzed. The type of complications of kyphoplasty was recorded, and the causes and treatments were analyzed. Results： 38 cases of patients with 53 completed vertebral surgeries were performed successfully, during the surgery time, leakage occurred in 9 patients, 8 were venous leakage, and 1 was pedicle outside, and during the surgery time, two patients had sudden hypotension, no death or incision infection was occurred. Conclusion： Complications of balloon kyphoplasty occur in a higher rate, adopting the corresponding measures can effectively reduce the occurrence, and it will generally not cause clinical adverse consequences.