空军医学杂志
空軍醫學雜誌
공군의학잡지
MEDICAL JOURNAL OF AIR FORCE
2014年
2期
96-98
,共3页
张斌%尚咏%史图龙%徐於炘
張斌%尚詠%史圖龍%徐於炘
장빈%상영%사도룡%서어흔
经皮椎体后凸成形术%非手术椎体骨折%相关因素
經皮椎體後凸成形術%非手術椎體骨摺%相關因素
경피추체후철성형술%비수술추체골절%상관인소
Percutaneous kyphoplasty%Fracture of non-surgical vertebral%Related factor
目的：探讨经皮椎体后凸成形术（percutaneous kyphoplasty，PKP）后继发非手术椎体再骨折的相关因素。方法收集2010年9月-2012年9月因骨质疏松性椎体压缩性骨折行PKP术114例。术后继发非手术椎体再骨折为再骨折组，无再发骨折为未骨折组，进行单因素和多因素分析。结果98例获得随访，时间为3～15个月。继发非手术椎体再骨折23例，占23.5%。再骨折组和未骨折组在术前伤椎压缩程度、年龄、性别、手术入路、骨水泥渗漏方面差异无统计学意义（P＞0.05）；再骨折组骨水泥量、伤椎前缘高度恢复程度值均高于未骨折组（P＜0.05）；而骨密度T值、体重指数则低于未骨折组（P＜0.05）。骨密度、骨水泥量、体重指数及伤椎前缘恢复程度与术后继发非手术椎体再骨折有相关性。结论骨水泥量过大、低体重指数、伤椎前缘高度过度恢复、低骨密度是PK P术后继发非手术椎体再骨折的相关因素。
目的：探討經皮椎體後凸成形術（percutaneous kyphoplasty，PKP）後繼髮非手術椎體再骨摺的相關因素。方法收集2010年9月-2012年9月因骨質疏鬆性椎體壓縮性骨摺行PKP術114例。術後繼髮非手術椎體再骨摺為再骨摺組，無再髮骨摺為未骨摺組，進行單因素和多因素分析。結果98例穫得隨訪，時間為3～15箇月。繼髮非手術椎體再骨摺23例，佔23.5%。再骨摺組和未骨摺組在術前傷椎壓縮程度、年齡、性彆、手術入路、骨水泥滲漏方麵差異無統計學意義（P＞0.05）；再骨摺組骨水泥量、傷椎前緣高度恢複程度值均高于未骨摺組（P＜0.05）；而骨密度T值、體重指數則低于未骨摺組（P＜0.05）。骨密度、骨水泥量、體重指數及傷椎前緣恢複程度與術後繼髮非手術椎體再骨摺有相關性。結論骨水泥量過大、低體重指數、傷椎前緣高度過度恢複、低骨密度是PK P術後繼髮非手術椎體再骨摺的相關因素。
목적：탐토경피추체후철성형술（percutaneous kyphoplasty，PKP）후계발비수술추체재골절적상관인소。방법수집2010년9월-2012년9월인골질소송성추체압축성골절행PKP술114례。술후계발비수술추체재골절위재골절조，무재발골절위미골절조，진행단인소화다인소분석。결과98례획득수방，시간위3～15개월。계발비수술추체재골절23례，점23.5%。재골절조화미골절조재술전상추압축정도、년령、성별、수술입로、골수니삼루방면차이무통계학의의（P＞0.05）；재골절조골수니량、상추전연고도회복정도치균고우미골절조（P＜0.05）；이골밀도T치、체중지수칙저우미골절조（P＜0.05）。골밀도、골수니량、체중지수급상추전연회복정도여술후계발비수술추체재골절유상관성。결론골수니량과대、저체중지수、상추전연고도과도회복、저골밀도시PK P술후계발비수술추체재골절적상관인소。
Objective To investigate the factors of secondary non-surgical vertebral fractures after percutaneous kyphoplasty (PKP). Methods Collecting 114 cases of osteoporotic vertebral compression fractures in patients with PKP surgery from September 2010 to September 2012, secondary non-surgical vertebral fractures were re-fracture group, no non-surgical fractures were no-fracture group, then using univariate and multivariate analysis. Results Ninety eight cases were followed up for 3~15 months. 23 cases with non-surgical vertebral fractures secondary, accounting for 23.5%. The level of injured vertebral compression before surgery, age, gender,surgical approach,cement leakage between re-fracture group and no-fracture group have no statistically significant difference (P>0.05);bone cement volume, degree of recovery of the injured vertebral anterior height in re-fracture group were higher than that in no-fracture group(P<0.05);while T-score of bone mineral density, body mass index in re-fracture group were lower than that in no-fracture group. Bone mineral density, bone cement volume, body mass index and the degree of recovery of the injured vertebra anterior height were related with secondary non-surgical vertebral fractures. Conclusion Excessive bone cement, low body mass index, over leading edge of the injured vertebral height restoration, low bone mineral density are related to secondary non-surgical vertebral fractures after PKP.
