The clinical effects of two different methods–high-viscosity cement percutaneous vertebroplasty（PVP） and low-viscosity cement percutaneous kyphoplasty（PKP） in the treatment of osteoporotic vertebral compression f...The clinical effects of two different methods–high-viscosity cement percutaneous vertebroplasty（PVP） and low-viscosity cement percutaneous kyphoplasty（PKP） in the treatment of osteoporotic vertebral compression fractures（OVCFs） were investigated. From June 2010 to August 2013, 98 cases of OVCFs were included in our study. Forty-six patients underwent high-viscosity PVP and 52 patients underwent low-viscosity PKP. The occurrence of cement leakage was observed. Pain relief and functional activity were evaluated using the Visual Analog Scale（VAS） and Oswestry Disability Index（ODI）, respectively. Restoration of the vertebral body height and angle of kyphosis were assessed by comparing preoperative and postoperative measurements of the anterior heights, middle heights and the kyphotic angle of the fractured vertebra. Nine out of the 54 vertebra bodies and 11 out of the 60 vertebra bodies were observed to have cement leakage in the high-viscosity PVP and low-viscosity PKP groups, respectively. The rate of cement leakage, correction of anterior vertebral height and kyphotic angles showed no significant differences between the two groups（P〉0.05）. Low-viscosity PKP had significant advantage in terms of the restoration of middle vertebral height as compared with the high-viscosity PVP（P〈0.05）. Both groups showed significant improvements in pain relief and functional capacity status after surgery（P〈0.05）. It was concluded that high-viscosity PVP and low-viscosity PKP have similar clinical effects in terms of the rate of cement leakage, restoration of the anterior vertebral body height, changes of kyphotic angles, functional activity, and pain relief. Low-viscosity PKP is better than high-viscosity PVP in restoring the height of the middle vertebra.展开更多
在高温、低孔低渗储层压裂改造中,常用的瓜胶压裂液浓度一般为0.45%～0.50%,瓜胶的浓度高,对储层的伤害大,且近年来瓜胶的价格明显上涨,施工费用增加。因此优选了性能优异的超级瓜胶、表面张力小的助排剂,并研制出水解半径大的复合型多...在高温、低孔低渗储层压裂改造中,常用的瓜胶压裂液浓度一般为0.45%～0.50%,瓜胶的浓度高,对储层的伤害大,且近年来瓜胶的价格明显上涨,施工费用增加。因此优选了性能优异的超级瓜胶、表面张力小的助排剂,并研制出水解半径大的复合型多头交联剂,最终得到耐高温低浓度瓜胶压裂液,该压裂液瓜胶质量分数为0.30%～0.35%时,耐温达130℃（黏度小于8 m Pa·s）,具有破胶彻底、低残渣（117 mg/L）、对岩心的伤害率小于10%、流变性能好等优点。该压裂液在塔河535井现场应用取得了显著效果。展开更多
致密砂岩储层孔渗低、物性差,必须经过水力压裂改造后才能具有较好的产能。为了降低施工成本和压裂液对储层的伤害,同时在高温条件下具有良好的耐剪切性能和破胶性能,需要研发一种耐高温、低伤害的压裂液体系。以改性纳米二氧化硅为交联...致密砂岩储层孔渗低、物性差,必须经过水力压裂改造后才能具有较好的产能。为了降低施工成本和压裂液对储层的伤害,同时在高温条件下具有良好的耐剪切性能和破胶性能,需要研发一种耐高温、低伤害的压裂液体系。以改性纳米二氧化硅为交联剂,对新型耐高温超低浓度纳米二氧化硅压裂液性能进行了较为全面的评价研究。结果表明,该压裂液体系在135℃条件下剪切2 h后平均黏度为100 m Pa·s,具有良好的携砂能力。破胶液残渣质量为常规胍胶压裂液质量的37.2%,破胶液的表面张力小,具有良好的返排性,压裂液与地层水配伍性好。超低浓度纳米胍胶压裂液大幅降低了对地层的伤害程度,适用于低渗的致密砂岩储层。展开更多
基金supported by Development Center for Medical Science and Technology,National Health and Family Planning Commission of China(No.W2012ZT15)
文摘The clinical effects of two different methods–high-viscosity cement percutaneous vertebroplasty（PVP） and low-viscosity cement percutaneous kyphoplasty（PKP） in the treatment of osteoporotic vertebral compression fractures（OVCFs） were investigated. From June 2010 to August 2013, 98 cases of OVCFs were included in our study. Forty-six patients underwent high-viscosity PVP and 52 patients underwent low-viscosity PKP. The occurrence of cement leakage was observed. Pain relief and functional activity were evaluated using the Visual Analog Scale（VAS） and Oswestry Disability Index（ODI）, respectively. Restoration of the vertebral body height and angle of kyphosis were assessed by comparing preoperative and postoperative measurements of the anterior heights, middle heights and the kyphotic angle of the fractured vertebra. Nine out of the 54 vertebra bodies and 11 out of the 60 vertebra bodies were observed to have cement leakage in the high-viscosity PVP and low-viscosity PKP groups, respectively. The rate of cement leakage, correction of anterior vertebral height and kyphotic angles showed no significant differences between the two groups（P〉0.05）. Low-viscosity PKP had significant advantage in terms of the restoration of middle vertebral height as compared with the high-viscosity PVP（P〈0.05）. Both groups showed significant improvements in pain relief and functional capacity status after surgery（P〈0.05）. It was concluded that high-viscosity PVP and low-viscosity PKP have similar clinical effects in terms of the rate of cement leakage, restoration of the anterior vertebral body height, changes of kyphotic angles, functional activity, and pain relief. Low-viscosity PKP is better than high-viscosity PVP in restoring the height of the middle vertebra.
文摘在高温、低孔低渗储层压裂改造中,常用的瓜胶压裂液浓度一般为0.45%～0.50%,瓜胶的浓度高,对储层的伤害大,且近年来瓜胶的价格明显上涨,施工费用增加。因此优选了性能优异的超级瓜胶、表面张力小的助排剂,并研制出水解半径大的复合型多头交联剂,最终得到耐高温低浓度瓜胶压裂液,该压裂液瓜胶质量分数为0.30%～0.35%时,耐温达130℃（黏度小于8 m Pa·s）,具有破胶彻底、低残渣（117 mg/L）、对岩心的伤害率小于10%、流变性能好等优点。该压裂液在塔河535井现场应用取得了显著效果。
文摘致密砂岩储层孔渗低、物性差,必须经过水力压裂改造后才能具有较好的产能。为了降低施工成本和压裂液对储层的伤害,同时在高温条件下具有良好的耐剪切性能和破胶性能,需要研发一种耐高温、低伤害的压裂液体系。以改性纳米二氧化硅为交联剂,对新型耐高温超低浓度纳米二氧化硅压裂液性能进行了较为全面的评价研究。结果表明,该压裂液体系在135℃条件下剪切2 h后平均黏度为100 m Pa·s,具有良好的携砂能力。破胶液残渣质量为常规胍胶压裂液质量的37.2%,破胶液的表面张力小,具有良好的返排性,压裂液与地层水配伍性好。超低浓度纳米胍胶压裂液大幅降低了对地层的伤害程度,适用于低渗的致密砂岩储层。
