三维重建辅助椎体成形术治疗压缩性骨折的临床研究
李凡;杨晓东;杜瑞;孙杨;王强;
摘要(Abstract)：
[目的]应用三维重建技术模拟,辅助经皮椎体成形术手术(percutaneous vertebroplasty,PVT)过程,并评估其应用价值。[方法]选择2013年8月~2014年3月于本院行三维重建辅助下经皮骨水泥注射椎体成形术的患者23例,共27椎,对其进行术前脊柱三维重建,手术模拟评估及术后CT复查,再次三维重建评估,并统计手术过程及手术成功率及不良反应发生情况。[结果]27例椎体成形均获得成功,1例出现椎体前缘骨水泥外漏,术后随访均恢复良好。[结论]三维重建辅助有助于提升经皮椎体成形术的有效率及安全性。
关键词(KeyWords)： 椎体压缩性骨折;三维重建;经皮椎体成形术
基金项目(Foundation):
作者(Author): 李凡;杨晓东;杜瑞;孙杨;王强;
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DOI:
参考文献(References)：
- [1]Wang H,Sribastav SS,Ye F,et al.Comparison of percutaneous vertebroplasty and balloon kyphoplasty for the treatment of single level vertebral compression fractures:a meta-analysis of the literature[J].Pain Physician,2015,18(3):209-222.
- [2]Li HD,Xu CJ,Wang H,et al.Percutaneous vertebroplasty for single osteoporotic vertebral body compression fracture:Results of unilateral3-D percutaneous puncture technique[J].Indian J Orthop,2015,49(2):245-250.
- [3]董继胜,董力军,闫兵勇,等.经皮椎体成形术和经皮椎体后凸成形术治疗老年骨质疏松椎体压缩性骨折的疗效观察[J].中国矫形外科杂志,2015,23(8):748-751.
- [4]Liang D,Ye L,Jiang X,et al.Correlation analysis of cement leakage with volume ratio of intravertebral bone cement to vertebral body and vertebral body wall incompetence in percutaneous vertebroplasty for osteoporotic vertebral compression fractures[J].Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi,2014,28(11):1358-1363.
- [5]Xu Y,Li B,Zou H,et al.Imaging assessing symptomatic vertebral compression fracture to be treated by vertebroplasty and kyphoplasty in osteoporosis patients[J].Zhonghua Yi Xue Za Zhi,2014,94(11):832-835.
- [6]Chen L,Su IC,Ni CF,et al.Percutaneous vertebroplasty performed with an 18-gauge needle for treatment of metastatic severe compression fracture of the cervical vertebral body[J].J Vasc Interv Radiol,2014,25(9):1413-1417.
- [7]钟远鸣,程俊,仇振茂,等.单双侧经椎弓根入路PVP治疗骨质疏松性椎体压缩性骨折的Meta分析[J].中国矫形外科杂志,2014,22(10):892-897.