椎体静脉造影在PVP治疗合并椎体真空征骨质疏松性胸腰椎骨折中的应用

发布时间：2018-02-27 04:49

本文关键词： 骨质疏松性胸腰椎骨折椎体静脉造影经皮椎体成形术椎体真空征　出处：《中国骨与关节损伤杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的探讨椎体静脉造影在经皮椎体成形术(PVP)治疗伴有椎体真空征的骨质疏松性胸腰椎骨折中的应用。方法回顾性分析自2010-02—2015-02采用PVP治疗的73例(73个椎体)椎体内真空裂隙骨质疏松性胸腰椎骨折。术中行椎体静脉造影后注射骨水泥。观察造影剂的渗漏情况及其在椎体内的分布特征,记录术中骨水泥注入量,比较术前、术后1个月、术后1年的VAS评分及ODI指数。结果术中椎体静脉造影后透视显示66例(90.4%)造影剂均在椎体内、裂隙内填充;7例(9.6%)有造影剂渗出,其中3例为椎体周围渗漏,2例为椎间盘渗漏,2例为椎管内渗漏。骨水泥注入量3.1~5.5 ml,平均4.2 ml。本组均获得随访12~24个月,平均18个月。术后1个月、1年的VAS评分及ODI指数较术前明显降低,差异有统计学意义(P0.05)。术后1年与术后1个月的VAS评分、ODI指数比较差异无统计学意义(P0.05)。结论 PVP治疗伴有椎体真空征的骨质疏松性椎体骨折术中行椎体静脉造影能够预见骨水泥流动分布特征以减少骨水泥的渗出,提高手术安全性。
[Abstract]:Objective to investigate the vertebral venography in percutaneous vertebroplasty (PVP) with osteoporotic thoracolumbar vertebral fractures treated with vacuum sign in. Methods a retrospective analysis of 73 cases of 2010-02 2015-02 treated with PVP (73 vertebrae) intravertebral vacuum fractured osteoporotic thoracolumbar fracture underwent vertebral vein. After contrast injection of bone cement. Observation of contrast agent leakage and its distribution in the vertebral body, bone cement injection volume were recorded and compared before surgery, 1 months after surgery, 1 years of VAS score and ODI index after operation. Results the vertebral vein was developed in 66 cases (90.4%) revealed contrast agent in the vertebral body, the fissure filling; 7 cases (9.6%) with contrast extravasation, including 3 cases of vertebral body around 2 cases of intervertebral disc leakage, leakage, 2 cases of spinal canal leakage. Bone cement injection was 3.1~5.5 ml, average 4.2 ml. in this group were followed up for 12~24 months, Ping An average of 18 months. 1 months after surgery, 1 years of VAS score and ODI index decreased significantly, the difference was statistically significant (P0.05). After 1 years and 1 months after surgery, the VAS score, there was no significant difference between the ODI index (P0.05). Conclusion osteoporotic vertebral PVP treatment with vertebral fractures underwent vacuum sign vertebral venography can predict the flow and distribution of bone cement to reduce bone cement leakage, improve the safety of operation.

【作者单位】：石河子市人民医院骨科;
【基金】：石河子市科学技术局基金资助项目(2013YL04)
【分类号】：R580;R687.3

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