骨水泥椎旁渗漏物取出术:1例报告和综述  

Removal of paravertebral bone cement leakage secondary to percutaneous kyphoplasty:a case report and literature review

作　　者：苏友祥 李念虎[2] 辛健[2] 魏传付 SU You-xiang;LI Nian-hu;XIN Jian;WEI Chuan-fu(Shandong University of Traditional Chinese Medicine,Jinan 250000,China;Affiliated Hospital,Shandong University of Traditional Chinese Medicine,Jinan250000,China)

机构地区：[1]山东中医药大学,山东济南250000 [2]山东中医药大学附属医院,山东济南250000

出　　处：《中国矫形外科杂志》2023年第3期251-255,共5页Orthopedic Journal of China

基　　金：山东省自然科学基金项目(编号:ZR2019MH044);山东省高等学校科技计划项目(编号:J17KA242);第六批全国老中医药专家学术经验继承工作项目(编号:国中医药人发[2017]29号);徐展望山东省名老中医药专家传承工作室建设项目(编号:山东省卫生健康委员会鲁卫函[2019]92号)。

摘　　要：经皮穿刺椎体后凸成形术(percutaneous kyphoplasty,PKP)越来越多的应用于疼痛性骨质疏松性压缩骨折(osteopo⁃rotic vertebral compression fracture,OVCF)的治疗。骨水泥渗漏是其常见的并发症之一,临床中大多数的骨水泥渗漏患者没有症状,但也有少数症状严重的患者需要再手术将渗漏的骨水泥取出。本文报告1例OVCF行PKP后骨水泥椎旁渗漏并出现右下腹钝痛,再手术将骨水泥椎旁渗漏物取出的病例,总结其病例资料及治疗效果并进行文献综述。Percutaneous kyphoplasty(PKP)has been increasingly used for painful osteoporotic vertebral compression fracture(OVCF),while bone cement leakage is one of its common complications.In clinical practice,the most patients with bone cement leakage have no symptoms,but a few patients with severe symptoms need be re-operated to remove the leaked bone cement.We reported a case of paraverte⁃bral leakage of bone cement secondary to PKP for OVCF who underwent revision surgery to remove the paravertebral bone cement leakage block due to dull pain in the right lower abdomen.In addition,the related literatures were reviewed in this article.

关 键 词：骨水泥渗漏 再手术 经皮穿刺椎体后凸成形术 

分 类 号：R687[医药卫生—骨科学]