| 朱佳福,宋红浦,徐卫星,俞雷钧.CPC/PMMA复合骨水泥联合明胶海绵预防伴椎体前壁破裂骨质疏松性骨折术中骨水泥渗漏的疗效观察[J].浙江中西医结合杂志,2024,34(6): |
| CPC/PMMA复合骨水泥联合明胶海绵预防伴椎体前壁破裂骨质疏松性骨折术中骨水泥渗漏的疗效观察 |
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| 投稿时间：2024-01-05 修订日期：2024-03-05 |
| DOI： |
| 中文关键词: CPC PMMA 明胶海绵 骨质疏松性椎体骨折 椎体前壁破裂 经皮椎体后凸成形术 渗漏 |
| 英文关键词:CPC PMMA Gelatin sponge Osteoporotic vertebral fractures Anterior vertebral wall rupture Percutaneous kyphoplasty leakage |
| 基金项目:浙江省中医药科技计划青年人才(2021ZQ019) |
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| 中文摘要: |
| :目的: 观察采用明胶海绵封堵裂口、经皮CPC/PMMA复合骨水泥椎体后凸成形在治疗伴有椎体前壁破裂的老年骨质疏松性椎体压缩骨折术中防止骨水泥渗漏的临床效果。方法: 回顾性分析自2023-06—2023-11诊治的15例伴有椎体前壁骨皮质破裂的老年骨质疏松性椎体压缩性骨折,以破裂区域为靶点进行穿刺,分多次将明胶海绵顶向椎体前壁破裂区域,再使用CPC/PMMA复合骨水泥注射进行经皮椎体后凸成形,观察骨水泥有无经椎体前壁渗漏的情况。结果: 15例患者均顺利完成手术,骨水泥均未超出椎体范围进入其他组织。结论: 采用明胶海绵封堵裂口、经皮CPC/PMMA复合骨水泥椎体后凸成形可显著降低术中骨水泥渗漏的概率。 |
| 英文摘要: |
| Objective: To observe the clinical effect of using gelatin sponge to seal the fracture and percutaneous CPC/PMMA composite bone cement kyphoplasty on preventing bone cement leakage in the treatment of elderly osteoporotic vertebral compression fractures with anterior vertebral wall rupture. Methods: A retrospective analysis was performed on 15 cases of senile osteoporotic vertebral compression fractures with anterior cortical fracture diagnosed and treated from June, 2023 to 11, 2023. The rupture area was targeted by puncture, and the gelatin sponge was applied to the anterior cortical fracture area several times, and then CPC/PMMA composite bone cement injection was used for percutaneous kyphosis of the vertebral body. Observe whether the bone cement leaks through the anterior wall of the vertebral body. Results: All the 15 patients successfully completed the operation, and the bone cement did not exceed the scope of the vertebral body into other tissues. Conclusion: Using gelatin sponge to seal the tear and percutaneous CPC/PMMA composite bone cement kyphoplasty can significantly reduce the probability of bone cement leakage during surgery. |
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