[1]胡勇,赖欧杰.Kmmell病的发生机制、影像学表现及治疗[J].中医正骨,2018,30(06):1-3.
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Kümmell病的发生机制、影像学表现及治疗()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年06期
页码:
1-3
栏目:
专家述评
出版日期:
2018-06-20

文章信息/Info

作者:
胡勇赖欧杰
浙江省宁波市第六医院,浙江 宁波 315040
关键词:
脊柱骨折mmell病 述评
文献标志码:
A
摘要:
Kümmell病主要表现为迟发性椎体塌陷及其所致的脊柱后凸畸形和神经功能损害。该病的发生机制目前尚无定论,可能是椎体缺血坏死、骨折后椎体内假关节形成等多个因素相互作用、相互影响所致。目前还没有针对该病影像学诊断的金标准,但X线、CT提示的椎体塌陷、椎体内真空裂隙形成及MRI中的双线征可作为影像学诊断的依据。对于椎体后壁完整、无严重脊柱后凸畸形及神经功能损害的Ⅰ、Ⅱ期Kümmell病,采用经皮椎体成形术或经皮椎体后凸成形术治疗能够取得良好的疗效; 对于Ⅲ期Kümmell病,选择开放性手术治疗更为恰当,但术式的选择须综合考虑术者的经验、脊柱后凸畸形程度及神经功能损害程度等多方面因素。

参考文献/References:

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更新日期/Last Update: 2018-10-30