经皮椎体成形术骨水泥渗漏原因分析及防治措施
CHINESE MANIPULATION & REHABILITION MEDICINE（2012）
Abstract
目的:探讨经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩骨折后的骨水泥渗漏的原因以及防治措施情况.方法:PVP治疗骨质疏松性椎体压缩骨折93例112个椎体,观察患者疼痛缓解程度及骨水泥渗漏情况.结果:所有患者术后疼痛明显缓解;术后所有患者行腰椎X线片和CT检查,出现骨水泥渗漏28例,发生率为约30.11%,其中8例渗漏至椎管内硬膜外,6例渗漏至椎间盘,5例渗漏至椎旁静脉,4例渗漏至神经根管周围,3例渗漏至神经孔,2例渗漏至脊柱旁软组织.结论:经皮椎体成形术治疗骨质疏松性椎体压缩骨折效果良好,但是骨水泥渗漏发生率较高.
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