Kümmell病的诊断与治疗进展  

Progress in diagnosis and treatment of Kümmell's disease

作　　者：杨丰源 杜俊杰 谢泊文 陈宇飞 YANG Feng-yuan;DU Jun-jie;XIE Bo-wen;CHEN Yu-fei(Department of Orthopedics,Air Force Medical Center of PLA,Beijing 100142,China;Graduate School,China Medical University,Shenyang 110122,China)

机构地区：[1]中国人民解放军空军特色医学中心骨科,北京100142 [2]中国医科大学研究生院,辽宁沈阳110122

出　　处：《中国矫形外科杂志》2024年第3期243-248,共6页Orthopedic Journal of China

基　　金：军队后勤科研重点项目(编号:BKJ17J004、BKJ20J004)。

摘　　要：Kümmell病是一种复杂的脊柱疾患,其发病机制、临床表现、影像学表现和治疗选择尚存在争议。Kümmell病可能是多种因素共同作用的结果。本病最重要的临床特征是轻微创伤后发生的延迟性椎体塌陷。椎体内真空裂隙征是椎体缺血性坏死的影像学征象,高度提示Kümmell病。治疗方法主要包括保守治疗和手术治疗。本文就Kümmell病的相关进展作一综述,旨在为其临床诊疗提供参考。Kümmell's disease is a complicated spinal condition which remains controversial in the pathophysiology,clinical presentation,imaging and treatment options,which may be the comprehensive effect of multiple factors.The most important clinical feature of this disease is delayed vertebral collapse occurring after the history of minimal trauma.The intravertebral vacuum cleft phenomenon is considered a radiographic sign of avascular osteonecrosis of the vertebral body and is highly suggestive of Kümmell's disease.Treatment options include nonsurgical and surgical treatment.This article reviews the progress of Kümmell's disease to provide a reference for diagnosis and treatment.

关 键 词：Kümmell病 经皮椎体成形术 经皮椎体后凸成形术 骨质疏松性椎体压缩性骨折 椎体内裂隙征 

分 类 号：R681.57[医药卫生—骨科学]