| 脊柱骨折PKP术中骨水泥灌注量的影像学研究 |
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| 引用本文： | 邓刚,张藜莉,张淑慧,吴戈,邓茂松,金光暐,尹晓明,刘建新,曾庆玉.脊柱骨折PKP术中骨水泥灌注量的影像学研究[J].CT理论与应用研究,2016,25(5):555-561. |
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| 作者姓名： | 邓刚 张藜莉 张淑慧 吴戈 邓茂松 金光暐 尹晓明 刘建新 曾庆玉 |
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| 作者单位： | 1. 北京市煤炭总医院影像科, 北京 100028; |
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| 摘 要： | 目的:对单个胸腰椎椎体新鲜压缩骨折经皮穿刺椎体后凸成形术(PKP)手术患者影像检查进行分析,探索一种术前通过影像检查预测PKP术中骨水泥最佳灌注量的方法、标准及准确计算方式可行性。方法:收集2013年3月~2014年11月期间42例胸腰椎外伤后单个椎体新鲜压缩骨折并进行PKP手术患者,每例患者在术前不超过1周期间内都进行CT和MRI检查。回复性分析相关患者影像数据,并对每例患者影像资料进行多种后处理,对重建图像进行统计比较。结果:42例发生部位分别为T10椎体2例、5例T11、9例T12、11例L1、7例L2、5例L3和L4椎体3例。42个伤椎平均骨折压缩率为14.3±1.2%,PKP手术骨水泥灌注量为1.6~6.3 m L不等。结论:尝试通过术前CT和MRI检查的后处理预测PKP手术骨水泥最佳灌注量是可行的,能够达到更好的治疗效果,同时避免相关并发症。
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| 关 键 词： | 多排螺旋CT 核磁共振 椎体 骨水泥 |
| 收稿时间： | 2016-02-02 |
Radiographic Analysisof the Dose of Bone Cement in Percutaneous Vertebroplasty and Kyphoplasty in Spinal Fractures |
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| DENG Gang,ZHANG Li-li,ZHANG Shu-hui,WU Gea,DENG Mao-song,JIN Guang-wei,YIN Xiao-ming,LIU Jian-xin,ZENG Qing-yua.Radiographic Analysisof the Dose of Bone Cement in Percutaneous Vertebroplasty and Kyphoplasty in Spinal Fractures[J].Computerized Tomography Theory and Applications,2016,25(5):555-561. |
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| Authors: | DENG Gang ZHANG Li-li ZHANG Shu-hui WU Gea DENG Mao-song JIN Guang-wei YIN Xiao-ming LIU Jian-xin ZENG Qing-yua |
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| Affiliation: | 1. Department of Radiology, Beijing Coal General Hospital, Beijing 100028, China;2. Department of Pharmacy, Beijing Coal General Hospital, Beijing 100028, China |
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| Abstract: | Objective: To explore a best does (method, standard and accurate calculation) of bone cement in PKP, based on the CT and MRI image data of thoracolumbar vertebrae with new compression fracture. Methods: 42 new compression fracture patients with thoracolumbar vertebrae injury underwent PKP and examined by CT and MRI before surgery no more than 1 week. Retrospectively analyzed the image data and compared the statistical image data followed a variety of reconstruction. Results: Of 42 cases, new compression fracture located in the T10 (n=2), T11 (n=5), T12 (n=9), L1 (n=11), L2 (n=7), L3 (n=5), L4 (n=3). The average fracture compression rate of bone cement in PKP ranged from 1.6 to 6.3ml. Conclusion: It is practicable to predict the best dose of bone cement in PKP that by reprocessing the image of preoperative CT and MRI, which can make the treatment more effective, at the same time, the interrelated complication can be avoided. |
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| Keywords: | multi-slicehelical CT magnetic resonance vertebrae bone cement |
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