CAJ | 학술논문

目的收集行椎体成形术患者相关临床资料,分析该术式的临床应用情况,以使该术式能够更好地服务于临床患者.方法回顾性分析2003年1月-2012年3月1084例椎体成形术患者的临床资料,其中资料完整且符合要求的患者为1 080例,分析年龄、性别、病种、手术的椎体数目、手术椎体的分布、术后X线片、注入椎体骨水泥的量、椎管内骨水泥渗漏率、骨水泥渗漏到椎体外的渗漏率、经球囊撑开与否的患者例数、行单双侧椎体成形术患者的例数、手术过程中患者的生命体征等基本资料12项,并且着重收录、分析、观察患者术后的临床表现,随访患者术后的生活质量.结果在1 080例患者中,术后X线片发现骨水泥渗漏者306例,占28.33％;注入骨水泥的量为1.5 ～ 7.5 ml;术中未发现椎管内渗漏;经球囊撑开的患者达706例,占65.37％;行单侧椎体成形术的患者达984例,占91.11％.23例患者在术后3～5 d内出现相关的临床症状,其中3例出现神经症状;其余20例出现与肺栓塞相关的临床症状,男5例,女15例,1例因肺栓塞症状严重转入呼吸内科进行治疗;单椎体手术8例,双椎体手术15例;涉及胸椎手术17例.结论椎体成形术虽然有各种临床并发症,但是掌握正确的手术方法及严格的手术适应证,此术式应在临床积极开展.
목적 수집행추체성형술환자상관림상자료,분석해술식적림상응용정황,이사해술식능구경호지복무우림상환자.방법 회고성분석2003년1월-2012년3월1084례추체성형술환자적림상자료,기중자료완정차부합요구적환자위1 080례,분석년령、성별、병충、수술적추체수목、수술추체적분포、술후X선편、주입추체골수니적량、추관내골수니삼루솔、골수니삼루도추체외적삼루솔、경구낭탱개여부적환자례수、행단쌍측추체성형술환자적례수、수술과정중환자적생명체정등기본자료12항,병차착중수록、분석、관찰환자술후적림상표현,수방환자술후적생활질량.결과 재1 080례환자중,술후X선편발현골수니삼루자306례,점28.33％;주입골수니적량위1.5 ～ 7.5 ml;술중미발현추관내삼루;경구낭탱개적환자체706례,점65.37％;행단측추체성형술적환자체984례,점91.11％.23례환자재술후3～5 d내출현상관적림상증상,기중3례출현신경증상;기여20례출현여폐전새상관적림상증상,남5례,녀15례,1례인폐전새증상엄중전입호흡내과진행치료;단추체수술8례,쌍추체수술15례;섭급흉추수술17례.결론 추체성형술수연유각충림상병발증,단시장악정학적수술방법급엄격적수술괄응증,차술식응재림상적겁개전.
Objective To analyze the efficacy of vertebroplasty using the patient data in our hospital so as to better serve those clinical patients.Methods A retrospectively review was performed on 1 080 with data integrity out of 1 084 cases undergone vertebroplasty from January 2003 to March 2012.Basic information measured was age,gender,entity,number of operated vertebral bodies,distribution of operated vertebral bodies,postoperative X-ray films,bone cement volume,bone cement leakage into the vertebral canal,cases with balloon kyphoplasty,cases with bilateral or bilateral vertebroplasty,and intraoperative vital signs.Clinical manifestations and quality of life were observed after operation.Results In all,306 cases occupying 28.33％ presented bone cement leaks based on postoperative X-ray films.Volume of bone cement infused in each vertebral body varied from 1.5 ml to 7.5 ml.No bone cement leaked into the vertebral canal during operation.There were 706 cases occupying 65.37％ managed by balloon kyphoplasty and 984 cases occupying 91.11％ by unilateral vertebroplasty.Within 3-5 days after surgery,associated symptoms were found in 23 cases,among which 3 had neurologic symptoms and 20 composing 5 men and 15 women had symptoms related to pulmonary embolism including one severely affected was transferred to the department of pneumology.Among the 23 cases,8 were managed by unilateral vertebroplasty and 15 by bilateral vertebroplasty,including 17 involving thoracic surgery.Conclusion Although various complications relate to the procedure,vertebroplasty may be widely used on condition that techniques and indications iu surgery are correctly mastered.