孙海涛;关家文;马宗雷;韩大鹏;

• 1:武警山东总队医院脊柱外科

摘要(Abstract)：

[目的]探讨CT引导下靶区小剂量骨水泥精准注射椎体成形术治疗骨质疏松性椎体压缩骨折的方法和疗效。[方法]本组216例共251个伤椎接受手术,CT引导下设计穿刺路径和治疗靶区并穿刺椎体,单侧穿刺232个椎体,双侧穿刺19个椎体。椎体内分次小剂量注射骨水泥,CT扫描观察骨水泥分布情况,术后记录患者视觉模拟疼痛评分(visual analogue scale,VAS)和Oswestry功能障碍指数(Oswestry disability index,ODI),采用配对t检验进行比较。[结果]CT引导经皮椎体穿刺成功率100%,注入骨水泥1.5~3 ml,平均2.78 ml,10个椎体发生无症状性骨水泥渗漏。术后随访12~26个月,平均16个月,VAS评分术前(8.60±0.11)分,术后1周(3.38±0.22)分、术后6个月(2.39±0.10)分,术前ODI平均(64.26±0.55)分、术后1周(33.78±0.61)分、术后6个月(21.43±0.44)分,两指标术后均与术前有显著统计学差异(P<0.01)。[结论]CT引导下椎体成形术操作安全、精准,小剂量注射骨水泥不影响疗效,能减少手术并发症。

关键词(KeyWords)： 脊柱骨折;椎体成形术;CT;骨水泥

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 孙海涛;关家文;马宗雷;韩大鹏;

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参考文献(References)：

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