Kümmell病诊治的研究进展  

Research advawes in diagnosis and treatment of Kümmell’s disease

作　　者：张天宇[1] 陈小锋 许庭珉 王艳华[1] 薛峰[1,2] 张殿英[1,2] 姜保国[1] Zhang Tianyu;Chen Xiaofeng;Xu Tingmin;Wang Yanhua;Xue Feng;Zhang Dianying;Jiang Baoguo(Department of Traumatic Orthopedics,Institute of Trauma and Nerve Regeneration,Peking University People's Hospital,Beijing 100044,China;Department of Orthopedics,Peking University Binhai Hospital,Tianjin 300450,China)

机构地区：[1]北京大学人民医院创伤骨科,创伤与神经再生研究所100044 [2]北京大学滨海医院骨科,天津300450

出　　处：《中华创伤杂志》2020年第11期1046-1050,共5页Chinese Journal of Trauma

基　　金：北京市科技计划项目(D161100002816001);创伤救治与神经再生教育部重点实验室(BMU2019XY007-01)。

摘　　要：Kümmell病表现为椎体迟发性进行性塌陷,影像学特征为椎体真空裂隙征。随着对该病认识的深入,其诊治的研究越来越多。由于Kümmell病缺乏公认的诊断标准,因此关于该病的研究也受到纳入标准不一的限制。目前认为创伤后进行性加重的疼痛及典型影像学表现为相对准确的诊断标准。治疗方面,采用椎体成形术治疗Kümmell病,椎体再塌陷及骨水泥渗漏率均高,而内固定术相对椎体成形术却并未显现出优势。笔者就Kümmell病的诊断及分期与治疗研究进展进行综述,以期对该病有更深入及全面的认识。Kümmell’s disease is often manifested as delayed progressive collapse of the vertebral body,and the imaging manifestation is the intravertebral vacuum cleft of the vertebral body.With the wider knowledge of the disease,more studies into the diagnosis and treatment are reported.Due to the lack of recognized diagnostic criteria,the current studies are limited by different inclusion criteria.At present,it is considered that the core symptom is progressive pain and typical imaging manifestations after trauma.In treatment of Kümmell\s disease,the rate of vertebral collapse and bone cement leakage is high after vertebroplasty,but internal fixation has no advantage over vertebroplasty.The authors review the diagnosis,staging and treatment of Kümmell\s disease in order to provide readers with further comprehensive understanding of the disease.

关 键 词：椎体成形术 脊柱融合术 椎体真空裂隙 

分 类 号：R681.5[医药卫生—骨科学]