骨密度联合骨代谢指标在胸腰椎PVP后再骨折中的应用进展  

Progress in the Application of Bone Density Combined With Bone Metabolism Indicators in the Recurrent Fractures After Thoracolumbar Vertebral PVP

作　　者：张爱军[1] 颜欢欢[2] 崔照晨 ZHANG Aijun;YAN Huanhuan;CUI Zhaochen(Department of Radiology,Ji'nan Third People's Hospital,Ji'nan Shandong 250101,China;CT Room,Ji'nan Third People's Hospital,Ji'nan Shandong 250101,China)

机构地区：[1]济南市第三人民医院放射科,山东济南250101 [2]济南市第三人民医院CT室,山东济南250101

出　　处：《中国卫生标准管理》2024年第8期195-198,共4页China Health Standard Management

基　　金：济南市卫生健康委员会科技计划项目(2022-1-19)。

摘　　要：胸腰椎骨折在我国具有较高的发病率,可严重影响患者日常生活,需及时治疗。椎体成形术(vertebroplasty,PVP)是临床用于治疗胸腰椎骨折的一种常见技术,具有疗效高、术后康复快等优势。部分患者于术后可能受到多种因素影响出现再骨折等情况,不仅影响远期预后,严重时可加重病情,增加手术治疗难度。因此,如何评估胸腰椎PVP后再骨折风险与治疗效果,分析影响胸腰椎PVP后再骨折的主要因素,加强高危人群管理,预防胸腰椎PVP再骨折发生至关重要。目前,临床主要将骨密度、骨代谢相关指标作为预测胸腰椎PVP后再骨折的主要观察指标,能够有效预测再骨折发生率,同时还能用于疾病治疗后临床效果的评估,应用价值较高。文章主要从骨密度、骨代谢指标在胸腰椎PVP后再骨折中的应用情况进行综述,分析了骨代谢指标与骨密度在胸腰椎PVP后再骨折中的应用进展,此文的研究结果为骨密度、骨代谢指标后期标准制定提供了借鉴内容。Thoracolumbar fracture has a high incidence in China,which can seriously affect the daily life of patients and needs timely treatment.Vertebroplasty(PVP)is a common technique used in clinical treatment of thoracolumbar fractures,which has the advantages of high efficacy and quick postoperative rehabilitation.Some patients may be affected by a variety of factors and other fractures,which not only affect the long-term prognosis,but also aggravate the condition in severe cases and increase the difficulty of surgical treatment.Therefore,it is crucial to evaluate the risk of refracture and treatment effect,analyze the main factors affecting the refracture of thoracolumbar PVP,strengthen the management of high-risk groups,and prevent the occurrence of PVP.At present,bone mineral density and bone metabolism are mainly used as the main observation indicators to predict refracture after PVP,which can effectively predict the incidence of refracture,and can also be used in the evaluation of clinical effect after disease treatment,with high application value.This paper mainly summarizes the application of bone mineral density and bone metabolism in refracture after PVP of thoracic and lumbar spine,and analyzes the application of bone metabolism and bone density in refracture after thoraco-lumbar spine PVP.The results of this paper provide reference for the formulation of bone density and bone metabolism index.

关 键 词：胸腰椎 PVP 骨密度 骨代谢 再骨折 预测 评估 

分 类 号：R683[医药卫生—骨科学]