[1]顾晨希,虞宵,黄安全,等.不同穿刺入路行椎体成形术治疗骨质疏松椎体压缩骨折的研究进展[J].中华老年骨科与康复电子杂志,2022,(02):117-122.[doi:10.3877/cma.j.issn.2096-0263.2022.02.008]
 Gu Chenxi,Yu Xiao,Huang Anquan,et al.Research progress of different puncture approaches in vertebroplasty for osteoporotic vertebral compression fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2022,(02):117-122.[doi:10.3877/cma.j.issn.2096-0263.2022.02.008]
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不同穿刺入路行椎体成形术治疗骨质疏松椎体压缩骨折的研究进展()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2022年02期
页码:
117-122
栏目:
综述
出版日期:
2022-04-05

文章信息/Info

Title:
Research progress of different puncture approaches in vertebroplasty for osteoporotic vertebral compression fractures
作者:
顾晨希虞宵黄安全王烨峰蔡小强沈军邹天明
215000 苏州,南京医科大学附属苏州医院 南京医科大学姑苏学院 苏州市立医院脊柱外科
Author(s):
Gu Chenxi Yu Xiao Huang Anquan Wang Yefeng Cai Xiaoqiang Shen Jun Zou Tianming.
Department of Spinal Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Gusu School, Nanjing Medical University, Suzhou Municipal Hospital, Suzhou 215000, China
关键词:
骨质疏松性骨折 脊柱骨折 椎体成形术
Keywords:
Osteoporotic fractures Spinal fractures Vertebroplasty
DOI:
10.3877/cma.j.issn.2096-0263.2022.02.008
文献标志码:
A
摘要:
骨质疏松性椎体压缩骨折(OVCF)是最常见的骨质疏松性骨折,严重影响患者的生活质量。尽快解除疼痛和恢复功能活动是治疗OVCF的首要目的,但保守治疗的效果并不理想,长期卧床容易引起一系列的并发症。经皮穿刺椎体成形术(PVP)是治疗OVCF的主要手段,因其创伤小、恢复快、疗效好,已在临床上得到了广泛的应用。为使椎体成形手术更安全有效,目前临床上针对穿刺入路的研究仍不断进展,大体上可分为椎弓根内和椎弓根外两大类,而且不同穿刺入路的适应症和注意点有所不同,如何选择最佳的穿刺入路仍存在争议。结合本单位开展经验及最新研究,本文就PVP术的不同穿刺入路及相关预后情况进行分析对比,以期能为临床手术的入路选择提供参考。
Abstract:
Osteoporotic vertebral compression fractures (OVCF) are the most-common osteoporotic fractures, which seriously affect the quality of life of affected patients. Relieving pain and restoring functional activities as soon as possible are the primary purpose in the treatment of OVCF. Nevertheless, the efficacy of conservative treatments is not satisfactory, and long-term bed rest is prone to a series of complications. Percutaneous vertebroplasty (PVP) is the main method for the treatment of OVCF. Research progress has been continuously made on puncture approaches used in PVP, aiming to enhance the surgical safety and efficacy. Generally, intrapedicular approach and extrapedicular approach are commonly used in PVP, which have different indications and points to consider. So far, how to select the optimal puncture approach in PVP is controversial. Combined with our clinical experiences and the latest research progress, this study aims to analyze and compare the effect of different puncture approaches in PVP on the prognosis of OVCF patients, thus providing a reference for selecting the optimal puncture approach in PVP.

相似文献/References:

[1]李伟,楼宇梁,全仁夫.脊柱后路PSO截骨长节段固定治疗 Kummells病伴脊柱后凸的临床疗效[J].中华老年骨科与康复电子杂志,2019,(01):33.[doi:10.3877/cma.j.issn.2096-0263.2019.01.007]
 Li Wei,Lou Yuliang,Quan Renfu.The treatment evaluation for osteoporotic Kummell disease with kyphosis by posterior spine osteotomy long segment fixation[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(02):33.[doi:10.3877/cma.j.issn.2096-0263.2019.01.007]
[2]顾晨希,虞宵,黄安全,等.不同穿刺入路行椎体成形术治疗骨质疏松椎体压缩骨折的研究进展[J].中华老年骨科与康复电子杂志,2022,(02):117.[doi:10.3877/cma.j.issn.2096-0263.2022.02.008]
 Gu Chenxi,Yu Xiao,Huang Anquan,et al.Research progress of different puncture approaches in vertebroplasty for osteoporotic vertebral compression fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2022,(02):117.[doi:10.3877/cma.j.issn.2096-0263.2022.02.008]

备注/Memo

备注/Memo:
基金项目:苏州市临床重点病种诊疗技术专项项目(LCZX201910)
更新日期/Last Update: 2022-06-17