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椎体成形术靶点穿刺62例临床观察

62 Cases Clinical Observation of Vertebral Plasty Targets Puncture
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摘要 目的探讨靶点定位穿刺路径在椎体成形术中的安全性及有效性。方法对62例(79病椎)胸腰椎骨折患者行PVP,在CT引导下,测量标定穿刺靶点及靶区,分次注射骨水泥,采用VAS评分和Barthel指数评价疼痛缓解情况。结果一次穿刺成功率为100%,手术时间(28.5±5.5)min,术后患者的疼痛缓解率为100%,随访期间无严重并发症。结论 CT引导下精准标定靶点及靶区,能避免穿刺损伤及骨水泥渗漏,有效提高手术安全性,获得良好的治疗效果。 Objective To In investigate the safety and effectiveness of Vertebral plasty with target positioning puncture path. Methods The 62 patients(79 vertebral) who were thoracolumbar fractures with PVP, and under CT guidance, we measure calibration targets and target section, then inject the bone cement and take the the VAS score and Barthel index in pain relief. Results Success rate of puncture was 100%, operation time(28.5 ± 5.5) min, The pain relief rate of post-operative patients was 100%.no serious medical complications during the follow-up period. Conclusion CTguided precision calibration target and the target section can avoid puncture damage and bone cement leakage, improving surgical safety effectively. It was with good treatment.
作者 杨庆武
出处 《中国继续医学教育》 2015年第18期103-104,共2页 China Continuing Medical Education
关键词 椎体成形术 椎体骨折 CT 靶点 穿刺路径 Vertebral plasty Vertebral fracture CT Target Puncture path
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  • 1徐苓,CummingsSR,秦明伟,田均平,StoneK,赵熙和,陈孝曙,余卫,JergasM.北京老年妇女脊椎骨折的流行病学研究[J].中国骨质疏松杂志,1995,1(1):81-84. 被引量:35
  • 2史万超,杨新健,吴中学.经皮椎体成形术治疗伴裂缝的椎体压缩性骨折[J].中国临床神经外科杂志,2006,11(1):11-14. 被引量:6
  • 3Galibert 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.
  • 4J Kevin McGraw, John A, Kirk D. Prospective evaluation of pain relief in 100 patients undergoing percutaneous vertebroplasty: results and follow-up[J]. JVIR,2002,13 (9) :883 -886.
  • 5Daniel B, Louis A, Manu S, et al. Treatment of chronic symptomatic vertebral compression fractures with percutaneous vertebroplasty [ J ]. AJR,2004,182(2) :319 -322.
  • 6Juerg H, Dallas P, Louis A. Midterm outcome after vertebroplasty : predictive value of technical and patient-related factors [J]. Radiology,2003,227(3) :662 -668.
  • 7He'ctor Manuel Barraga'n-Campos, Jean-Noe"l Valle'e, Daouda Lo, etal. Percutaneous vertebroplasty for spinal metastases: complications [ J]. Radiology,2006,238 ( 1 ) :354 - 362.
  • 8Du Hwan Choe, Edith M, Kamran A, et al. Pulmonary embolism of polymethyl methacrylate during percutaneous vertebroplasty and kyphuplasty[ J]. AJR,2004,183(4) :1097 - 1102.
  • 9Lin EP, Ekholm S, Hiwatashi A, et al. Vertebroplasty: cement leakage into the disc increases the risk of new fracture of adjacent vertebral body[J]. AJNR,2004,25(2) :166 - 167.
  • 10Mubin I Syed, Neel A, Patel,et al. lntradiskal extravasation with low- volume cement filling in percutaneous vertebroplasty [ J ]. AJNR, 2005.26(9) :2397 -2401.

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