摘要
目的:探讨椎体成形术的并发症及其相关因素。方法:自2006年8月～2009年2月共行经皮椎体成形及椎体后凸成形术92例167个椎体,均为老年骨质疏松性椎体压缩骨折,观察术中、术后出现的并发症。结果:随访4～28个月(平均13.4个月),骨水泥平均注入量3.8 ml,58例症状完全缓解,34例部分缓解,均于术后6 h或第2天即下地行走;并发症发生率为44.6%(41例);其中骨水泥渗漏59椎,发生率按椎体数计为35.3%;渗漏部位:椎间盘内渗入4.2%(7椎),椎外静脉或硬膜外静脉13.8%(23椎),椎旁软组织16.2%(27椎),椎管内渗漏1.2%(2椎);一过性疼痛症状加重4例,皮下血肿1例,一过性单侧下肢神经症状1例,相邻椎体骨折3例。结论:椎体成形术有较高的手术并发症,严格的手术适应证及良好的手术技巧可减少并发症的发生。
Objective： To investigate the complications and problems related to percutaneous vertebroplasty. Methods： From august 2006 to february 2009, one hundred and sixty-seven vertebare of 92 cases with osteoporotic compressive vertebral fractures were treated by vertebroplasty, and then intraoperative and postoperative complications were observed. Results： All patients were followed up about 4-28 months, averagely 13.4 months. The average bone cement filling volume was about 3,8 ml. 58 patients had complete response （CR）, 34 patients partial response （PR）. 37 cases （40.2%） appeared complications, of them, 59 vertebare （35.3%） showed leakage of cement. Cement leakage site involved in the adjacent intervertebral discs in 7 vertebare（4.2%）, the paravertebral venous plexus in 23 vertebare（13.8%）, the paravertebral soft tissue in 27 vertebare（16.2%） and the vertebral canal in 2 vertebare（1.2%）. Besides the leakages of cement, those appeared transient symptom aggravating in 4 cases, subcutaneous hematoma in 1 case, transient single lower limb anesthesia in 1 case and adjacent vertebral body fracture in 3 cases. Conclusions： It shows that strict indications and excellent operation skills can reduce PVP complications.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2009年第5期610-613,共4页
Chinese Journal of Clinical Anatomy
