PKP术后患者再骨折危险因素分析  

Risk factors of re- fracture after percutaneous kyphoplasty

作　　者：朱书涛[1] 刘洋[1] 张明辉[1] 李国军[1] 姜峰[1] 张鹏[1] 武豪杰[1] 王晓[1] 

机构地区：[1]河南大学淮河医院骨科,河南开封475000

出　　处：《中国矫形外科杂志》2016年第16期1445-1448,共4页Orthopedic Journal of China

基　　金：卫生部课题项目(编号:W2013ZT135)

摘　　要：[目的]探讨压缩性骨折患者经皮椎体后凸成形术（PKP）后发生再骨折的危险因素。[方法]回顾性分析2010年2月~2014年6月在本院行PKP术治疗的248例压缩性骨折患者病历资料。根据再骨折情况,分为再骨折组（29例）、未骨折组（217例）。对两组临床资料、手术情况、影像学资料等进行统计,对患者术后再骨折的危险因素进行分析。[结果]29例（11.7%）患者PKP术后发生了再骨折。单因素和Logistic分析显示：年龄、伤椎数、手术椎体数、骨密度、后凸角变化、前高变化、骨水泥渗漏是PKP术后再骨折的危险因素。[结论]压缩性骨折患者经皮椎体后凸成形术后易发生再骨折,年龄、伤椎数、手术椎体数、骨密度、后凸角变化、前高变化、骨水泥渗漏是PKP术后发生再骨折的危险因素。[Objective]To investigate the risk factors of re- fracture after percutaneous percutaneous kyphoplasty（ PKP）.[Method]A total of 248 cases of compression fractures patients treated by PKP in our hospital from February 2010 to June2015 were retrospectively analyzed. Based on re- fracture status,patients were divided into re- fracture group（ 29 cases） and no- refracture group（ 217 cases）. The clinical data,operative data,and imaging results of two groups were recorded,and the risk factors of re- fracture after percutaneous kyphoplasty were analyzed. [Result]Re- fracture was found in 29 cases（ 11.69%） after PKP. Univariate and Logistic regression analysis results showed age,injuried vertebral numbers,surgery vertebral surgery number,bone mineral density,kyphosis angle change,former high variety,and cement leakage were the risk factors of re- fracture after percutaneous kyphoplasty. [Conclusion]After PKP,compression fractures is easy to occurr re- fracture,and the age,injuried vertebral number,surgery vertebral surgery number,bone mineral density,kyphosis angle change,former high variety,and cement leakage are the risk factors of re- fracture.

关 键 词：压缩性骨折 经皮椎体后凸成形术 再骨折 危险因素 

分 类 号：R687.3[医药卫生—骨科学]