CAJ | 학술논문

背景:经皮椎体成形是一项安全、有效的微创手术.目的:综述经皮椎体成形中有关骨水泥渗漏的研究现状及新进展.方法:由第一作者检索1980至2012年 PubMed 数据库及 CNKI 数据库中有关经皮椎体成形中骨水泥渗漏的文献,英文检索词为“Percutaneous vertebroplasty,cement leakage”,中文检索词为“经皮椎体成形,骨水泥渗漏”.结果与结论:通过经皮穿刺向椎体内注射骨水泥可增强椎体强度,稳定椎体,达到止痛目的,避免了开放手术的并发症;操作简单,效果显著,止痛确切、迅速,并发症少,安全性相对高.但经皮椎体成形需要通过经皮穿刺向病椎注入骨水泥,因而可能会伴发因骨水泥注入导致的并发症,尤其是骨水泥渗漏.虽然大部分无临床症状,但灾难性的并发症也可能会发生.了解骨水泥渗漏发生的原因、部位、症状,对制定骨水泥渗漏预防策略、减少其发生率、提高手术安全性都有重要临床意义.
배경:경피추체성형시일항안전、유효적미창수술.목적:종술경피추체성형중유관골수니삼루적연구현상급신진전.방법:유제일작자검색1980지2012년 PubMed 수거고급 CNKI 수거고중유관경피추체성형중골수니삼루적문헌,영문검색사위“Percutaneous vertebroplasty,cement leakage”,중문검색사위“경피추체성형,골수니삼루”.결과여결론:통과경피천자향추체내주사골수니가증강추체강도,은정추체,체도지통목적,피면료개방수술적병발증;조작간단,효과현저,지통학절、신속,병발증소,안전성상대고.단경피추체성형수요통과경피천자향병추주입골수니,인이가능회반발인골수니주입도치적병발증,우기시골수니삼루.수연대부분무림상증상,단재난성적병발증야가능회발생.료해골수니삼루발생적원인、부위、증상,대제정골수니삼루예방책략、감소기발생솔、제고수술안전성도유중요림상의의.
BACKGROUND: Percutaneous vertebroplasty is a minimal y invasive and safe surgical technique. OBJECTIVE: To overview the current status and new advancement of cement leakage in percutaneous vertebroplasty. METHODS: The first author searched the literatures related to cement leakage in percutaneous vertebroplasty in the PubMed and CNKI databases (1980/2012) using the keywords of “percutaneous vertebroplasty, cement leakage” in English and Chinese, respectively. RESULTS AND CONCLUSION: The aim of this procedure is to enhance the mechanical strength of the vertebra and obtain pain relief. It can avoid the complications of open vertebroplasty and have broken a new ground for the treatment of osteoporotic vertebral compression fractures and vertebral metastases. Percutaneous vertebroplasty has been widely accepted by the doctors and patients due to its simple procedure, low complication rate and effect in al eviating pain. However, percutaneous vertebroplasty is not free of complications, especial y associated with cement leakage. Although extravasations of polymethylmetharylate during percutaneous vertebroplasty are usual y asymptomatic, devastating complications may occur. To determine the reasons of cement leakage in percutaneous vertebroplasty wil help us to make preventive strategies, reduce complications and promote the security of the procedure.