椎体强化术后骨水泥渗漏危险因素及预防措施的研究进展  

Research progress on risk factors and preventive measures of bone cement leakage after vertebroplasty

作　　者：王孟[1] 胡兴律 刘诗若 王墉琦 王超[1] 王轩[1] 王琛 殷继超 WANG Meng;HU Xinglv;LIU Shiruo;WANG Yongqi;WANG Chao;WANG Xuan;WANG Chen;YIN Jichao(The First Clinical Medical College,Shaanxi University of Chinese Medicine,Shaanxi Province,Xianyang 712046,China;Departments of Spinal,Xi’an Traditional Chinese Medicine Hospital,Shaanxi Province,Xi’an 710000,China;Department of Administration,Xi’an School of Health,Shaanxi Province,Xi’an 710000,China)

机构地区：[1]陕西中医药大学第一临床医学院,陕西咸阳712046 [2]陕西省西安市中医医院脊柱科,陕西西安710000 [3]西安市卫生学校行政科,陕西西安710000

出　　处：《中国医药导报》2023年第35期54-57,共4页China Medical Herald

基　　金：陕西省科技厅重点研发计划项目(2022SF-173、2023-YBSF-158)。

摘　　要：椎体强化术是治疗骨质疏松性和病理性骨折的脊柱微创手术,目前临床应用广泛。但术中骨水泥渗漏是其最常见的并发症,可能导致血管栓塞、神经损伤、相邻椎体再骨折等严重后果。本文综述了骨水泥渗漏的危险因素,包括解剖、骨折、手术、骨水泥、疾病因素,以及目前常用的预防措施,如优化手术方式、新型材料的使用。并指出了目前研究中存在的问题和不足,提出了未来的研究方向,以期为临床工作提供参考,提高手术安全性。Osteoporotic and pathological fractures can be treated by vertebral augmentation,these techniques are widely applied in clinical practice.However,bone cement leakage during operation is the most common complication,which may lead to vascular embolism,nerve injury,and refracture of adjacent vertebrae.This article reviews the risk factors of bone cement leakage,including anatomy,fracture,surgery,bone cement,disease factors,and common preventive measures,such as optimal surgical methods and the use of novel materials.It also identifies the gaps and limitations in the existing research and suggests future research directions,aiming to provide guidance for clinical work and enhance surgical safety.

关 键 词：椎体强化术 骨水泥渗漏 危险因素 预防措施 

分 类 号：R683[医药卫生—骨科学]