郭瑞;张柯;文豪;郑博隆;杨小彬;孔令擘;张臻;郝定均;贺宝荣;

• 1:陕西中医药大学
• 2:延安大学医学院
• 3:西安交通大学附属红会医院脊柱外科

摘要(Abstract)：

[目的]探讨椎体强化术骨水泥发生渗漏的危险因素。[方法]回顾性分析本院2016年12月～2018年02月收治的165例行椎体强化术治疗的患者,依据术后发生渗漏与否分为:渗漏组和无渗漏组。记录患者年龄、性别、骨密度、骨折节段、椎体压缩程度、骨折椎体的后壁及终板完整性、术式选择、手术入路、手术穿刺方法、注入骨水泥的体积等资料,并进行统计分析。[结果] 165例患者中,54例发生渗漏,111例未观察到渗漏。两组患者在年龄、性别、骨密度、骨折节段、手术入路、手术穿刺方法方面差异无统计学意义(P>0.05),而两组在椎体后壁完整与否、椎体终板完整与否、手术方式、椎体压缩程度、注入骨水泥的体积方面差异有统计学意义(P<0.05)。二分变量逻辑回归分析表明:骨水泥渗漏与否与椎体后壁完整与否、椎体终板完整与否、术式选择、椎体压缩程度有显著相关性(P<0.05)。[结论]椎体后壁完整与否、椎体终板完整与否、术式选择、椎体压缩程度是椎体强化术骨水泥渗漏的危险因素。

关键词(KeyWords)： 骨质疏松;椎体骨折;椎体强化术;骨水泥渗漏

Abstract:

Keywords:

基金项目(Foundation): 科技部国家重点研发计划数字诊疗装备研发项目(编号:2016YFC0105804);; 陕西省科技厅科技成果转移与推广计划-获奖成果转化项目(编号:2018HJCG-08);; 西安市科技局社会发展攻关项目(编号:2017115SF/YX009)

作者(Author): 郭瑞;张柯;文豪;郑博隆;杨小彬;孔令擘;张臻;郝定均;贺宝荣;

Email:

DOI:

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