OVCF经皮椎体后凸成形术后骨水泥渗漏的相关因素分析-论文.pdf

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1、西南国防医药2014年2月第24卷第2期·157·OVCF经皮椎体后凸成形术后骨水泥渗漏的相关因素分析何少斌，刘平[摘要]目的对骨质疏松性椎体压缩骨折经皮椎体后凸成形术后骨水泥渗漏的相关因素进行分析。方法选取80例接受经皮椎体后凸成形术治疗的骨质疏松性椎体压缩骨折患者为研究对象。根据术后是否发生骨水泥渗漏分为渗漏组和无渗漏组，对发生骨水泥渗漏的相关因素进行分析。结果80例共110个椎体行经皮椎体后凸成形术治疗，术后有11个椎体发生骨水泥渗漏。渗漏组和无渗漏组比较，术前椎体前中柱平均高度、术前Cobb角、骨水泥注入量、椎体周壁有无破坏等方面存在统计学差异(P<0．05)。Logist

2、ic分析显示，术前椎体前中柱平均高度、术前Cobb角、骨水泥注入量、椎体周壁破坏为骨水泥渗漏重要因素。结论术前椎体前中柱平均高度、术前Cobb角、骨水泥注入量、椎体周壁有无破坏等因素是影响术后骨水泥渗漏的重要原因。[关键词]骨质疏松；椎体；压缩骨折；骨水泥；渗漏；因素中图分类号R683．2文献标识码A文章编号1004-0188(2014)02-0157-03doi：10．3969／i．issn．1004-0188．2014．02．015Correlativefactorsofbonecementleakageafterpercutaneouskyphoplastyinpatient

3、swithosteoporoticvertebralcompressionfracturesHeShaobin，LiuPing1．DepartmentofOrthopaedics；2．ServiceCenteroftheOutpatientClinic，TaiheHospitalofShiyanCity，HubeiMedicalCollege，Shiyan，Hubei，442000，China[Abstract]0bjectiveToanalyzethecorrelativefactorsofbonecementleakageafterpercutaneouskyphoplasty

4、inpatientswithosteoporoticvertebralcompressionfractures(OVCF)．MethodsEightypatientswithOVCFwhounderwentpercutaneouskyphoplastywerechosenassubjects．Accordingtotheoccurrenceofpostoperativeleakageofbonecement，theyweredividedintoleakageandnon-leakagegroups．Thecorrelativefactorsofbonecementleakagew

5、ereanalyzed．ResultsPercutaneouskyphoplastywascarriedouton110vertebraeinthe80cases．Bonecementleakageoccurredin11vertebraeaftertheoperation．Thereweresignificantdifferencesintheaverageheightofanteriorandmiddlecolumn，preoperativeCobbangle，theinjectionvolumeofbonecement，anddamageinthevertebralperip

6、heralwallbetweentheleakageandnon·leakagegroupsbeforetheoperation(P<0．05)．Logisticanalysisindicatedthatthepreoperativeaverageheightofanteriorandmiddlecolumn，preoperativeCobbangle，theinjectionvolumeofbonecement，anddamageinthevertebralperipheralwallwerekeyfactorsofcementleakage．ConclusionThepreop

7、erativeaverageheightofanteriorandmiddlecolumn，preoperativeCobbangle，theinjectionvolumeofbonecement，anddamageinthevertebralperipheralwallareimportantfactorsthataffectthepostoperativecementleakage．[Keywords]osteoporosis；vertebra；compressi