中国卫生产业
中國衛生產業
중국위생산업
CHINA HEALTH INDUSTRY
2014年
30期
3-5
,共3页
经皮椎体强化术%骨水泥漏%危险因素%Logistic回归
經皮椎體彊化術%骨水泥漏%危險因素%Logistic迴歸
경피추체강화술%골수니루%위험인소%Logistic회귀
PVA%Cement leakage%Risk factors%Logistic analysis
目的：探讨经皮椎体强化术中骨水泥漏的危险因素，为临床预防骨水泥漏的发生提供依据。方法回顾2010年1月-2014年6月我科收治的431例（667节段椎体）行椎体强化术患者的病史资料，以是否并发骨水泥漏将患者分为两组，记录患者的年龄、性别、体重指数(body mass index，BMI)、疾病种类、手术方式、手术节数、手术节段、骨水泥注入量及手术医师资历。将上述可能与并发骨水泥漏相关的因素先行单因素分析，筛选出有统计学差异的因素再行多因素Logistic回归，分析其与椎体强化骨水泥漏的关系。结果431例（667节段椎体）患者中78例（109节段椎体）发骨水泥漏，发生率为16.34%（109/667），椎体成形术漏的发生率为23.8%(81/260)，椎体后凸成形术为8.58%(28/298)。骨水泥漏相关因素单因素分析，采用卡方检验，结果显示骨水泥漏与不漏两组病例年龄、性别、体重指数、医师资历方面差异无统计学意义（P>0.05）；疾病类型、手术方式、手术节段数、手术节段、骨水泥量差异方面有统计学意义（P<0.05）；多因素Logistic回归分析显示，手术方式（OR=3.393，95%CI=1.416~8.138）、疾病类型（OR=1.621，95%CI=1.084~2.424）、手术节段数（OR=2.388，95%CI=1.043~5.465）、骨水泥量（OR=2.162，95%CI=1.024~4.565）是骨水泥漏的危险因素（OR>1）。结论疾病类型、手术方式、手术节段数、骨水泥量对椎体强化术中骨水泥漏有重要影响。
目的：探討經皮椎體彊化術中骨水泥漏的危險因素，為臨床預防骨水泥漏的髮生提供依據。方法迴顧2010年1月-2014年6月我科收治的431例（667節段椎體）行椎體彊化術患者的病史資料，以是否併髮骨水泥漏將患者分為兩組，記錄患者的年齡、性彆、體重指數(body mass index，BMI)、疾病種類、手術方式、手術節數、手術節段、骨水泥註入量及手術醫師資歷。將上述可能與併髮骨水泥漏相關的因素先行單因素分析，篩選齣有統計學差異的因素再行多因素Logistic迴歸，分析其與椎體彊化骨水泥漏的關繫。結果431例（667節段椎體）患者中78例（109節段椎體）髮骨水泥漏，髮生率為16.34%（109/667），椎體成形術漏的髮生率為23.8%(81/260)，椎體後凸成形術為8.58%(28/298)。骨水泥漏相關因素單因素分析，採用卡方檢驗，結果顯示骨水泥漏與不漏兩組病例年齡、性彆、體重指數、醫師資歷方麵差異無統計學意義（P>0.05）；疾病類型、手術方式、手術節段數、手術節段、骨水泥量差異方麵有統計學意義（P<0.05）；多因素Logistic迴歸分析顯示，手術方式（OR=3.393，95%CI=1.416~8.138）、疾病類型（OR=1.621，95%CI=1.084~2.424）、手術節段數（OR=2.388，95%CI=1.043~5.465）、骨水泥量（OR=2.162，95%CI=1.024~4.565）是骨水泥漏的危險因素（OR>1）。結論疾病類型、手術方式、手術節段數、骨水泥量對椎體彊化術中骨水泥漏有重要影響。
목적：탐토경피추체강화술중골수니루적위험인소，위림상예방골수니루적발생제공의거。방법회고2010년1월-2014년6월아과수치적431례（667절단추체）행추체강화술환자적병사자료，이시부병발골수니루장환자분위량조，기록환자적년령、성별、체중지수(body mass index，BMI)、질병충류、수술방식、수술절수、수술절단、골수니주입량급수술의사자력。장상술가능여병발골수니루상관적인소선행단인소분석，사선출유통계학차이적인소재행다인소Logistic회귀，분석기여추체강화골수니루적관계。결과431례（667절단추체）환자중78례（109절단추체）발골수니루，발생솔위16.34%（109/667），추체성형술루적발생솔위23.8%(81/260)，추체후철성형술위8.58%(28/298)。골수니루상관인소단인소분석，채용잡방검험，결과현시골수니루여불루량조병례년령、성별、체중지수、의사자력방면차이무통계학의의（P>0.05）；질병류형、수술방식、수술절단수、수술절단、골수니량차이방면유통계학의의（P<0.05）；다인소Logistic회귀분석현시，수술방식（OR=3.393，95%CI=1.416~8.138）、질병류형（OR=1.621，95%CI=1.084~2.424）、수술절단수（OR=2.388，95%CI=1.043~5.465）、골수니량（OR=2.162，95%CI=1.024~4.565）시골수니루적위험인소（OR>1）。결론질병류형、수술방식、수술절단수、골수니량대추체강화술중골수니루유중요영향。
Objective To explore the risk factors for extravertebral cement leakage following percutaneous vertebral augmentaion PVA), in addition,to provide references for preventionand manage-ments. Methods A total of 431 patiens (667 vertebrals) who had received percutaneous vertebral augmentation from January 2010 to june 2014 in our department were enrolled. According to leakage or no leakage, the patients were divided into two groups.Data of age,gender,body mass index (BMI),diseases, surgical mode,mumber of surgical levels, suigical position, cement volume and operator﹐s qualifications. Univariate analysis was firstly used to explore significant factors for cement leakage,and then these factors were measured by multivariate logistic analysis to identify the risk factors for cement leakage following PVA. Results In all 431 cases (667vertebrals),78 cases (109 vertebral) suffered ce-ment leakage, the incidence rate was 16.34% (109/667).And incidence rate was 23.8% (81/260) in PVP,8.58%(28/298) in PKP. Univariate analysis showed statistical differences in diseases, surgical mode,mumber of surgical levels, suigical position and ce-ment volume(P<0.05). Multivariate Logistic analysis showed the diseases (OR=1.621,95% CI=1.084-2.424)、surgical mode (OR=3.393, 95%CI=1.416-8.138)、suigical position (OR=2.388,95%CI=1.043-5.465) and cement volume (OR=2.162, 95%CI=1.024-4.565) were risk factors for cementleakage (OR> 1).Conclusion The disease、surgical mode、suigical position and cement volume seriously affect the incidence of cement leakage follow-ing PVA.
