骨质打压骨水泥部位注入法在经皮穿刺椎体成形术中的应用

Application of Bone Compression and Bone Cement Injection in Percutaneous Vertebroplasty

目的:探讨骨质打压骨水泥部位注入法在治疗骨质疏松性椎体压缩骨折行经皮穿刺椎体成形术在预防骨水泥渗漏的疗效。方法:回顾性分析我院2017年1月-2019年1月收治的38例骨质疏松性压缩骨折患者,所有患者术中采用骨水泥部位注入法行经皮穿刺椎体成形术,术后第1天X线检查观察骨水泥渗漏情况。结果:38例患者中发现骨水泥渗漏3例,渗漏率为7.89%,其中椎体前方渗漏1例(椎前静脉),椎体后方渗漏2例,无椎间渗漏。结论:骨质打压部位骨水泥注入可以降低骨水泥渗漏率,尤其是前方渗漏,并且其手术操作简单,安全性高,值得在临床推广。

Objective:To investigate the effect of bone compression and bone cement injection in the prevention of cement leakage by percutaneous vertebroplasty in the treatment of osteoporosis vertebral compression fracture.Methods:38 patients with osteoporosis com-pression fracture,11 males and 27 females,aged 68-83 years old,average 75.3 years old,were analyzed retrospectively.All patients were treated withbone compression and bone cement injection for percutaneous vertebroplasty.The leakage of cement was observed by X-ray examination on the first day after operation.Results:3 cases of bone cement leakage were found in 38 patients,the leakage rate was 7.89%,including 1 case of anterior vertebral leakage,2 cases of posterior vertebral leakage,no intervertebral leakage.Conclu-sion:Bone compression and bone cement injection can reduce the leakage rate of bone cement,especially the anterior leakage,and its operation is simple and safe,which is worthy of clinical promotion.