[1]史丽娜,吴春根,李文彬,等. 经皮椎体成形术后新发椎体骨折是骨质疏松症的 自然演进还是并发症?[J].介入放射学杂志,2011,(11):872-876.
 SHI Li-na,WU Chun-gen,LI Wen-bin,et al.Is new vertebral compression fractures after percutaneous vertebroplasty: due to the ongoing osteoporosis or complicntion﹖[J].journal interventional radiology,2011,(11):872-876.
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 经皮椎体成形术后新发椎体骨折是骨质疏松症的 自然演进还是并发症? ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年11期
页码:
872-876
栏目:
非血管介入
出版日期:
2011-11-25

文章信息/Info

Title:
Is new vertebral compression fractures after percutaneous vertebroplasty: due to the ongoing osteoporosis or complicntion﹖
作者:
 史丽娜   吴春根   李文彬   顾一峰   王   珏程永德
200233 上海交通大学附属第六人民医院放射科
Author(s):
SHI Li-na WU Chun-gen LI Wen-bin GU Yi-feng WANG Jue CHENG Yong-de.
Department of Radiology, the Affiliated Sixth People’s Hospital, Shanghai Jiaotong University, Shanghai 200233, China
关键词:
【关键词】   骨质疏松性椎体压缩骨折 新发骨折 经皮椎体成形术 邻近治疗椎体
分类号:
R681.53
文献标志码:
A
摘要:
 【摘要】 目的 探讨经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩骨折是否增加新发骨折的风险。方法 明确诊断为骨质疏松性椎体新发压缩骨折120例,根据治疗方式不同分为A、B两组,A组60例为保守治疗,B组60例为PVP治疗。随访时间为1 ~ 5年,分别比较两组患者新发骨折的部位、分布、发生概率、是否邻近治疗椎体及邻近与非邻近治疗椎体的相对危险度、两组新发骨折的时间等。结果   A组新发骨折发生率为27%,邻近治疗椎体新发骨折概率为56%;B组新发骨折发生率为38%,邻近治疗椎体新发骨折概率为52.5%。两组新发骨折的概率、部位分布差异均无统计学意义(P > 0.05)。A组和B组邻近治疗椎体与非邻近治疗椎体新发生骨折的相对危险度RR值分别为1.076和0.952,两组邻近治疗椎体同非邻近治疗椎体相比均无明显更高新发生骨折的风险。A组和B组新发骨折发生的平均时间分别为(12.9 ± 8.5)个月和(13.6 ± 16.2)个月,两组间差异无统计学意义(P > 0.05)。结论   与保守治疗相比,PVP并不增加新发骨折的风险。邻近治疗椎体新发骨折的风险比非邻近者无明显增高。

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备注/Memo

备注/Memo:
(收稿日期:2011-04-06)
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