慢性肝病骨质疏松椎体压缩骨折球囊扩张椎体后凸成形术的危险因素分析
张强;高峥嵘;罗航宇;王振潮;袁征;王元浩;张寿天;蔡娟;
摘要(Abstract)：
<正>研究表明慢性肝病患者骨营养不良的发生率为12%～55%,多以骨质疏松(osteo porosis,OP)为主,表现为:全身骨量减少、骨小梁变细、断裂、数量减少,皮质骨多孔、变薄为特征,以致骨的脆性增高,骨折危险性增加的一种全身性骨病。骨质疏松最常见的骨折部位是胸腰椎压缩骨折,占骨质疏松骨折的30%～40%[1-2]。Deramond等[3-4]在1987
关键词(KeyWords)： 慢性肝病;骨质疏松;椎体压缩骨折;球囊扩张椎体后凸成形术;危险因素
基金项目(Foundation):
作者(Author): 张强;高峥嵘;罗航宇;王振潮;袁征;王元浩;张寿天;蔡娟;
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DOI:
参考文献(References)：
- [1]Collier J.Bone disorders in chronic liver disease[J].Hepatology,2007,46:1271-1278.
- [2]段雪飞,范小玲.慢性肝病与骨质疏松症[J].世界华人消化杂志,2010,27:2841-2845.
- [3]Zhang Q,Zou D,Hai Y,et al.Balloon kyphoplasty:an experience of38 patients with painful osteoporotic vertebral compressive fracture[J].J Chin Trauma,2006,4:206-210.
- [4]张强,邹德威,海涌,等.球囊扩张椎体后凸成形术治疗骨质疏松压缩骨折的初步结果[J].中华创伤骨科杂志,2006,5:497-498.
- [5]王峰.肝硬化病人的围手术期处理[J].腹部外科,2009,4:204-205.
- [6]徐庆,吴志勇.胃肠道肿瘤合并肝硬化门静脉高压症的外科处理[J].肝胆胰外科杂志,2008,1:1-3.
- [7]汪邵平,霍枫,詹世林,等.肝硬化病人肝胆手术的风险因素分析[J].中国实用外科杂志,2003,7:427-428.
- [8]Cohen SM,Te HS,Levitsky J.Operative risk of total hip and knee ar-throplasty in cirrhotic patients[J].J Arthroplasty,2005,4:460-466.
- [9]Belli G,Cioffi L,Fantini C,et al.Laparoscopic redo surgery for recur-rent hepatocellular carcinoma in cirrhotic patients:feasibility,safety,and results[J].Surg Endosc,2009,8:1807-1811.
- [10]Concha PM,Mertz KV.Perioperative risk among patients with cirrho-sis[J].Rev Med Chil,2010,9:1165-1171.