提高椎体成形术中骨水泥注入安全性的新技术
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1.潍坊市人民医院;2.潍坊医学院

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潍坊市科技发展计划项目


A new technique to improve the safety of bone cement injection in vertebroplasty
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Affiliation:

1.weifangshirenminyiyuan;2.weifangyixueyuan

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Weifang Science and technology development projects

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    摘要:

    [目的]介绍一种既安全可靠又提高疗效的骨水泥注入的新技术。[方法]回顾性研究本科2015~2020年收治的99例患者,男32例,女67例,年龄64~85岁[(76.1±8.5)岁];伤椎分布:T10椎体10例,Tll椎体12例,T12椎体38例,L1椎体32例,L2椎体17例;I度楔形骨折35例、II度楔形骨折20例、III度楔形骨折8例,I度双凹形骨折6例、II度双凹形骨折9例、I度压缩形骨折17例、II度压缩形骨折4例。将穿刺锥靶点穿刺骨折区、侧口推注杆辅助骨水泥靶点注入、骨水泥椎弓根拖尾锚定三大技术综合应用于经皮穿刺椎体(后凸)成形术中,通过术中及术后X线、CT评估手术效果。[结果]手术均顺利完成,骨折椎体前缘高度明显恢复,骨水泥渗漏少,术后疼痛明显缓解。[结论]骨折区靶点穿刺、侧口推杆辅助骨水泥靶点注入、骨水泥椎弓根拖尾锚定三大技术综合应用经皮穿刺椎体(后凸)成形术中,可减少骨水泥渗漏、移位、生物毒性的风险,提高手术安全性。

    Abstract:

    [Objective] To introduce a new technique of bone cement injection, which is safe, reliable and effective. [Methods] A retrospective study was conducted on 99 cases of undergraduate patients from 2015 to 2020, including 32 males and 67 females, aged from 64 to 85 years [(76.1 8.5) years]; The distribution of vertebral injury: T10 vertebral body 10 cases, Tll vertebral body 12 cases, T12 vertebral body 38 cases, L1 vertebral body 32 cases and L2 vertebral body 17 cases; There are 35 degree I wedge fractures, 20 degree II wedge fractures, 8 degree III wedge fractures, 6 degree I double concave fractures, 9 degree II double concave fractures, 17 degree I compression fractures and 4 degree II compression fractures. The three techniques of puncture cone target puncture fracture area, injection of bone cement target assisted by lateral injection rod and tail anchoring of bone cement pedicle were comprehensively applied to percutaneous vertebroplasty, and the operation effect was evaluated by X-ray and CT during and after operation. [Results] All the operations were successfully completed, the height of the anterior edge of the fractured vertebral body was obviously recovered, the leakage of bone cement was less, and the postoperative pain was obviously relieved. [Conclusion] The combined application of three techniques, namely target puncture in fracture area, injection of bone cement with lateral push rod and tail anchoring of bone cement pedicle, can reduce bone cement in percutaneous vertebroplasty.

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  • 收稿日期:2022-04-05
  • 最后修改日期:2022-04-05
  • 录用日期:2023-01-20
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