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目的分析双侧入路经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩性骨折(OVCF)并发症发生情况。方法回顾性分析OVCF患者125例临床资料,观察行PVP术后并发症情况。结果共有12例OVCF患者出现并发症,发生率为9.6%。其中6例骨水泥渗漏,3例术中出现恶心、呕吐并低血压状态,3例随访中出现邻近椎体再骨折。3例术中并发症予甲泼尼松龙80mg静脉推注、10%葡萄糖酸钙10ml+维生素C 2g静脉推注后症状缓解,并未造成明显后果。3例再骨折患者均再次行PVP治疗,随访可。结论减少并发症的关键在于熟练的手术操作,严格把握旋转椎体的三维立体空间概念以及需要优秀的C臂X射线机技师的协助。
Objective To analyze the incidence of complication of osteoporotic vertebral compression fractures (OVCF) by bilateral percutaneous vertebroplasty (PVP). Methods The clinical data of 125 patients with OVCF were retrospectively analyzed. The complication after PVP was observed. Results A total of 12 patients with OVCF developed complications, the incidence was 9.6%. Among them, 6 cases of bone cement leakage, 3 cases of nausea, vomiting and hypotension surgery, 3 cases of follow-up in the adjacent vertebral body fractures. 3 cases of intraoperative complications to methylprednisolone 80mg intravenous injection, 10% calcium gluconate 10ml + vitamin C 2g after intravenous bolus symptoms, did not cause significant results. Three patients with fractures were again treated with PVP, follow-up can be. Conclusions The key to reducing complications is skilled surgical procedures, rigorous mastery of the three-dimensional concept of rotating vertebral bodies, and the need for excellent C-arm X-ray machine technicians.