[1]刘鹤飞,田庆华,易 飞,等.分期注射法在经皮椎体成形术中的应用[J].介入放射学杂志,2018,27(12):1163-1167.
 LIU Hefei,TIAN Qinghua,YI Fei,et al.Application of phased injection in percutaneous vertebroplasty[J].journal interventional radiology,2018,27(12):1163-1167.
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分期注射法在经皮椎体成形术中的应用()

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

卷:
27
期数:
2018年12期
页码:
1163-1167
栏目:
非血管介入
出版日期:
2018-12-25

文章信息/Info

Title:
Application of phased injection in percutaneous vertebroplasty
作者:
刘鹤飞 田庆华 易 飞 王 涛 吴春根
Author(s):
LIU Hefei TIAN Qinghua YI Fei WANG Tao WU Chungen.
Department of Interventional Radiology, Affiliated Sixth People’s Hospital, Shanghai Jiaotong University, Shanghai 200233, China
关键词:
【关键词】 分期注射法 椎体病变 经皮椎体成形术 脊柱稳定性 解剖修复
文献标志码:
A
摘要:
【摘要】 目的 探讨经皮椎体成形术(PVP)中分期注射法对于脊柱病变治疗的安全性及有效性。方法 回顾性分析228例患者,443节手术椎体,根据手术方法的不同将患者分为两组:A组(采用分期注射法)和B组(无分期注射法),所有患者随访12个月,随访过程中采用视觉模拟评分(VAS)及Oswestry功能障碍指数(ODI)评价临床疗效,采用统计学方法对随访数据进行统计学分析。结果 所有患者顺利完成手术,A组患者每节椎体骨水泥注入量平均(4.75±0.85) mL,B组患者骨水泥注入量平均(4.23±1.16) mL,A组患者81节椎体(23.9%)发生骨水泥渗漏,B组患者36节椎体(34.6%)发生骨水泥渗漏,骨水泥渗漏周围组织,未引起明显不适。对随访数据进行统计学分析显示,A组术后1 d和1个月VAS及ODI评分优于B组,差异有统计学意义,但是A组与B组术后6和12个月VAS及ODI评分差异无统计学意义。结论 PVP是治疗椎体病变安全有效的方法,为达到解剖学上的修复,从而最大程度恢复脊柱稳定性,缓解症状,在PVP中采用分期注射法是一种安全及有效的手术方法。

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备注/Memo

备注/Memo:
(收稿日期:2018-03-13)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2018-12-20