| 注射型磷酸钙人工骨椎体后凸成形固化治疗骨质疏松性胸腰椎压缩骨折 |
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| 引用本文： | 崔勇,孟庆刚,王鹏,周晨亮,郜克巍,岳伟杰.注射型磷酸钙人工骨椎体后凸成形固化治疗骨质疏松性胸腰椎压缩骨折[J].中国组织工程研究与临床康复,2011,15(34). |
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| 作者姓名： | 崔勇 孟庆刚 王鹏 周晨亮 郜克巍 岳伟杰 |
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| 作者单位： | 哈尔滨医科大学第四临床学院骨科,黑龙江省哈尔滨市,150001 |
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| 摘 要： | 背景:椎体后凸成形目前常用的注射型聚甲基丙烯酸甲酯骨水泥椎体增强剂可达到增加椎体强度、稳定椎体、止痛的目的,但其组织相容性差,无生物降解性,容易造成使临近椎间盘或椎体发生变性、甚至骨折.目的:观察注射型磷酸钙人工骨椎体后凸成形固化治疗骨质疏松性椎体压缩骨折的效果.方法:选择2007-12/2010-06哈尔滨医科大学附属第四医院骨外科收治的骨质疏松性胸腰椎压缩性骨折患者20例,均采用经双侧椎弓根球囊扩张注射型磷酸钙人工骨行椎体后凸成形固化治疗.手术前后行疼痛目测类比评分,胸(腰)椎正侧位X射线片及椎体前缘高度、Cobb角检测.结果与结论:术后病椎前缘椎体平均高度较术前平均高度恢复(3.38±1.44) mm (P < 0.05).术后Cobb角较术前平均恢复(7.63±2.52)° (P < 0.05),后凸矫正率为(38.90±11.28)%.术后3d及3周目测类比评分均较术前明显降低(P < 0.01).说明经双侧椎弓根球囊扩张注射型磷酸钙人工骨行椎体后凸成形可以有效增加椎体强度、稳定椎体、明显缓解患者疼痛,是治疗骨质疏松性胸腰椎压缩骨折的有效方法.
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| 关 键 词： | 骨质疏松性椎体压缩骨折 经皮椎体后凸成形 磷酸钙 人工骨 骨水泥 |
Treatment of osteoporotic vertebral compression fractures with percutaneous kyphoplasty by calcium phosphate cement |
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| Cui Yong,Meng Qing-gang,Wang Peng,Zhou Chen-liang,Gao Ke-wei,Yue Wei-jie.Treatment of osteoporotic vertebral compression fractures with percutaneous kyphoplasty by calcium phosphate cement[J].Journal of Clinical Rehabilitative Tissue Engineering Research,2011,15(34). |
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| Authors: | Cui Yong Meng Qing-gang Wang Peng Zhou Chen-liang Gao Ke-wei Yue Wei-jie |
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| Affiliation: | Cui Yong,Meng Qing-gang,Wang Peng,Zhou Chen-liang,Gao Ke-wei,Yue Wei-jieDepartment of Orthopedics,Fourth Clinical College,Harbin Medical University,Harbin 150001,Heilongjiang Province,China |
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| Abstract: | BACKGROUND:Injectable polymethylmethacrylate(PMMA) with percutaneous kyphoplasty can increase vertebral strength,stabilize vertebral body,relieve pain,but its histocompatibility is poor with no biodegradability,which is easy to cause adjacent or vertebral body denaturation,even fractures. OBJECTIVE:To observe the clinical effect of percutaneous kyphoplasty by calcium phosphate cement on osteoporotic vertebral compression fractures. METHODS:Twenty cases of osteoporotic vertebral compression fractures were se... |
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