[1]刘相英,刘建军,李士民.应用浸骨水泥明胶海绵预防经皮椎体成形术中骨水泥渗漏[J].中医正骨,2018,30(10):74.
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应用浸骨水泥明胶海绵预防经皮椎体成形术中骨水泥渗漏()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年10期
页码:
74
栏目:
临床报道
出版日期:
2018-10-20

文章信息/Info

作者:
刘相英刘建军李士民
(河南省滑县骨科医院,河南 滑县 456485)
关键词:
脊柱骨折 骨质疏松性骨折 椎体成形术 明胶海绵吸收性 骨水泥
摘要:
目的:探讨应用浸骨水泥明胶海绵预防经皮椎体成形术(percutaneous vertebroplasty,PVP)中骨水泥渗漏的可行性。方法:2013年6月至2017年11月收治新鲜椎体压缩骨折(T4~L5)患者415例。男175例,女240例; 年龄58~104岁,中位数75岁; 单椎体病变324例,双椎体病变78例,三椎体病变13例; 均合并骨质疏松症。采用PVP治疗,术中注入骨水泥之前以浸骨水泥明胶海绵颗粒封闭椎体边缘破损处。结果:本组415例519椎,经术中X线透视和术后CT扫描发现23例发生骨水泥渗漏,其中经上终板渗漏11例、下终板渗漏8例、侧方渗漏4例,未发生骨水泥经椎体后缘、前缘和椎基静脉孔渗漏。结论:应用浸骨水泥明胶海绵可有效预防PVP术中骨水泥渗漏,而且术中可在X线透视下实时看到封堵区域。

参考文献/References:


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备注/Memo

备注/Memo:

通讯作者:刘相英 E-mail:849541257@qq.com
更新日期/Last Update: 2019-02-25