椎体成形术中骨水泥渗漏的现状和预防对策

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1、授予单位代码10089学号或申请号20153372中国图书分类号R683.2HebeiMedicalUniversity硕士学位论文专业学位椎体成形术中骨水泥渗漏的现状和预防对策研究生：赵云导师：齐向北教授专业：外科学（骨外）二级学院：河北医科大学第三医院2018年3月河北医科大学目录中文摘要············································································································1英文摘要·······································

2、·····································································2英文缩写············································································································3综述椎体成形术中骨水泥渗漏的现状和预防对策······························4参考文献····························································

3、··············································13致谢··········································································································19个人简历··········································································································20中文摘要椎体成形术中骨水泥渗漏的现状和预防对策摘要目前，关

4、于治疗骨质疏松导致的椎体压缩性骨折，（osteoporoticvertebralcompressionfracture，简称OVCF）临床上非手术治疗的方法有很多种，但是这些保守治疗的方法适用于低水平疼痛的OVCF患者，而且对于大多数患者在进行其它治疗之前都应该尝试采用的治疗方法。Galibert最早在1987年提出经皮椎体成形术（PercutaneousVertebroplasty,简称PVP），随后Duquesnal将其应用于OVCF的微创治疗，效果明显，通常被认为适合于那些对保守治疗没有反应的高水平疼痛患者，随着PVP在临床工作中的广泛应用，其并发症也逐渐被人们所重视。骨水泥渗漏作为最

5、常见的并发症，虽然大部分无明显的临床症状，一旦发生可导致灾难性的后果。本文将对骨水泥的渗漏情况、影响骨水泥渗漏的因素、骨水泥渗漏出现的相关并发症以及如何预防骨水泥渗漏进行详细的阐述，为临床工作进一步提供指导。关键词：骨质疏松，椎体成形术，骨水泥，渗漏率，并发症1英文摘要ThepresentsituationandpreventivemeasuresofbonecementleakageinvertebroplastyABSTRACTAtpresent,aboutthetreatmentofvertebralcompressionfracturescausedbyosteoporosis,(o

6、steoporoticvertebralcompressionwillfracture,OVCF)clinicalnon-operativetreatmenthasalotofkinds,butthesekindsofmethodofconservativetreatmentissuitableforthelowlevelsofOVCFpatientspain,butformostofthepatientsbeforetreatmentwithothershouldtrytoadoptthetreatment.Galibertasearlyasin1987PercutaneousVerteb

7、roplasty(PVP)thenDuquesnalappliedtoOVCFminimallyinvasivetreatment,theeffectisobvious,aregenerallyconsideredsuitableforthosepatientswithhighlevelsofpaindidnotrespondtoconservativetreatment,withthewideapplica