目的：探讨经皮椎体成形术（PVP）骨水泥渗漏的预防措施，分析临床疗效。方法选取该院2013年9月至2014年12月收治的老年骨质疏松性椎体压缩性骨折（OVCF）患者35例，采用PVP治疗，观察术中及术后骨水泥弥散情况及渗漏情况、椎体高度压缩率及视觉模拟评分（VAS）。结果35例患者术中及术后骨水泥弥散良好，无一例发生骨水泥渗漏，术后椎体高度压缩率及VAS评分较术前均明显改善（P＜0.05）。结论通过手术操作的改良能有效避免PVP骨水泥渗漏且临床疗效显著。%Objective To discuss of Percutaneous vertebral plasty (PVP) of bone cement leakage prevention measures and analysis of the clinical efifcacy. Methods Selected 35 cases patients with osteoporosis vertebra compressed fracture (OVCF) used PVP treatment in hospital from September 2013 to December 2014, and intraoperative and postoperative leakage of bone cement dispersion conditions and situation, the height of vertebral body compression rate and visual analogue scale (VAS) were observed.Results 35 cases patients achieved good bone cement diffusion, no leakage of bone cement. the height of the vertebral body compression rate and VAS score a preoperative were signiifcantly improved(P<0.05).Conclusions The PVP leakage of bone cement is effectively prevented by improved operation, and clinical curative effect is distinct.
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