钟远鸣;付拴虎;张家立;李智斐;伍亮;

• 1:广西中医药大学第一附属医院骨一科
• 2:广西中医药大学

摘要(Abstract)：

[目的]探讨经皮穿刺椎体成形术(percutaneous vertebroplasty,PVP)治疗骨质疏松性脊柱压缩性骨折(osteoporosis vertebral compression fracture,OVCF)后再骨折的相关危险因素。[方法]回顾性分析经皮穿刺椎体成形术治疗骨质疏松压缩性骨折患者264例(394个椎体),分为A组(再发骨折组)21例,B组(未再发骨折组)243例。随访时间平均(16.50±6.50)个月,记录术后再发骨折的时间、部位及发生率,记录患者的年龄、性别、穿刺方法、骨水泥量、原发椎体平均数目、QCT值、骨水泥渗漏、椎体高度恢复率、手术前后VAS评分、椎体后凸角等因素并对以上因素进行分析。[结果]所有患者均成功完成手术,椎体成形术后首次再发骨折的发生率为7%,时间为(9.34±8.34)个月,第2、3次发生在3个月内。骨水泥渗漏率为9%,渗漏后无临床症状发生。年龄、性别、穿刺方法、骨水泥量、原发椎体平均数目、骨水泥渗漏、椎体高度恢复率、椎体后凸角度(Cobb)等因素在A组和B组间差异无统计学意义(P>0.05);术前及术后第3 d VAS评分在A组、B组组内比较有显著性意义(P<0.05),终末随访VAS评分在两组间对比有统计学意义,P<0.05;QCT值在A组和B组间有显著性意义(P<0.05)。[结论]骨质疏松性脊柱压缩性骨折患者行椎体成形术治疗,能够取得满意效果,再发骨折发好于术后9个月内,骨密度是PVP后再发骨折的一个危险因素。

关键词(KeyWords)： 经皮穿刺椎体成形术;骨质疏松症;脊柱骨折;再发骨折

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 钟远鸣;付拴虎;张家立;李智斐;伍亮;

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参考文献(References)：

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