姚珍松;陈康;江晓兵;梁德;张顺聪;杨志东;

• 1:广州中医药大学第一附属医院脊柱骨科

摘要(Abstract)：

[目的]观察应用新型Mesh-Hold~(TM)骨填充网袋系统行网袋成形术(vesselplasty)治疗骨壁破损型复杂椎体骨折的临床效果及安全性。[方法]回顾性分析本院2015年1月~2015年7月期间行网袋成形术的骨壁破损型椎体骨折患者,共11例13椎,其中新鲜骨折7椎,陈旧骨折不愈合6椎。均行双侧椎弓根穿刺骨填充网袋填充,观察骨水泥在椎体内的分布情况,对比手术前后患者的VAS评分、椎体高度及后凸角改善情况。[结果]术后CT显示骨水泥未渗漏7椎,轻度椎旁骨水泥渗漏6椎,未发现后壁骨水泥渗漏,未发现任何骨水泥渗漏相关并发症。全部患者均获半年随访,其术前、术后次日及半年随访VAS评分分别为(7.38±0.87)、(1.85±0.69)、(0.77±0.93);平均椎体前缘高度比分别为(66.86±21.91)%、(77.89±15.96)%、(75.17±14.69)%;平均后凸Cobb角分别为(19.38±13.17)°、(15.60±11.08)°、(16.23±11.26)°,以上3个指标术后均较术前明显改善(P<0.01),椎体高度及后凸角术后半年随访时有轻度丢失,但与术后次日结果相比差异无统计学意义(P>0.05)。[结论]网袋成形术能有效控制骨水泥在椎体内的分布,减少骨水泥渗漏,是治疗骨壁破损型椎体骨折的有效方法。

关键词(KeyWords)： 网袋成形术;骨壁破损;椎体压缩骨折;骨质疏松;病理骨折

Abstract:

Keywords:

基金项目(Foundation): 卫生部医药卫生科技发展研究中心资助课题(编号:W2014ZT256;W2012ZT0);; 广东省卫生厅医学科研基金(编号:2014B2014175)

作者(Author): 姚珍松;陈康;江晓兵;梁德;张顺聪;杨志东;

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DOI:

参考文献(References)：

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