[1]梅贤忠 刘修华 甘学文 左云周 樊帆 严浩 左昌俊 鲁齐林.椎体成形术中高粘度骨水泥与普通骨水泥渗漏的比较[J].中国中医骨伤科杂志,2017,25(06):57-60.
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椎体成形术中高粘度骨水泥与普通骨水泥渗漏的比较()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年06期
页码:
57-60
栏目:
临床报道
出版日期:
2017-07-08

文章信息/Info

文章编号:
1005-0205(2017)06-0057-04
作者:
梅贤忠1 刘修华1 甘学文1 左云周1 樊帆1 严浩1 左昌俊1 鲁齐林1
1.武汉六七二中西医结合医院(武汉,430079)
关键词:
高粘度骨水泥 经皮椎体成形术 骨质疏松性椎体压缩骨折 骨水泥渗漏
分类号:
R687.3
文献标志码:
B
摘要:
目的:比较在经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩骨折(OVCFs)中应用高粘度骨水泥与普通骨水泥渗漏的比较。方法:回顾性分析2009年1月至2015年5月收治且获随访OVCFs并行PVP患者,按治疗方法被分为两组:A组使用高粘度骨水泥,B组使用普通骨水泥。其中A组35例,男16例,女19例; B组46例,男17例,女29例。比较两组患者疼痛视觉模拟评分(VAS)以及术后骨水泥渗漏情况。结果:VAS评分A组术前第1 天(7.56±0.56)分,术后第3天(2.12±0.96)分,末次随访(2.01±0.88)分; B组术前第1 天(7.50±0.68)分,术后第3天(2.12±1.5)分,末次随访(2.41±1.4)分,两组手术前后VAS分别比较差异有统计学意义(PA<0.01,PB<0.01), 两组手术后VAS比较差异无统计学意义(P>0.05); A组骨水泥渗漏率5.71%,B组19.56%,两组间比较差异有统计学意义(P<0.01)。结论:PVP治疗OVCFs有创伤小、疗效好的特点,高粘度骨水泥还具有瞬间高粘度,可注射时间长、定向可控注射的优点,能明显降低骨水泥渗漏率。

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更新日期/Last Update: 2017-06-15