...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>American Journal of Neuroradiology >Relevance of Antecedent Venography in Percutaneous Vertebroplasty for the Treatment of Osteoporotic Compression Fractures
【24h】

Relevance of Antecedent Venography in Percutaneous Vertebroplasty for the Treatment of Osteoporotic Compression Fractures

机译：前静脉造影在经皮椎体成形术中治疗骨质疏松性压迫性骨折的相关性

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND AND PURPOSE: Controversy exists regarding the utility of antecedent venography in percutaneous vertebroplasty. Our purpose was to determine whether antecedent venography improves clinical outcomes and/or decreases extravertebral cement extravasation in these procedures. METHODS: We retrospective reviewed outcomes of consecutive percutaneous vertebroplasty procedures performed at our institution to define two populations, each consisting of 24 patients treated at 42 vertebral levels. Group 1 included patients who underwent antecedent venography, and group 2 included patients treated without venography. Clinical outcomes were assessed with quantitative measurements of pain and mobility. Venograms and postprocedural radiographs were interpreted to evaluate the number of vertebrae with extravertebral cement extravasation, degree of extravasation at each level, and correlation between venography and vertebroplasty. RESULTS: Pain improved in 19 of 20 group 1 patients, compared with 21 of 22 group 2 patients; mean postoperative pain levels were 1.3 and 1.8, respectively (P = .50), on a scale of 0 (no pain) to 10 (worst pain). All 11 group 1 patients with impaired preoperative mobility reported postoperative improvement, as did all 12 group 2 patients; mean levels of postoperative impaired mobility for groups 1 and 2 were 0.35 and 0.27, respectively (P = .43). Twenty-two of 42 vertebrae treated in group 1 demonstrated extravasation, compared with 28 of 42 in group 2 (P = .266); amounts of extravasation did not differ. Among 22 levels of extravasation in group 1, venograms in 14 showed correlative extravasation. CONCLUSION: Antecedent venography does not significantly improve the effectiveness or safety of percutaneous vertebroplasty performed by qualified, experienced operators.
机译：背景与目的：前静脉造影术在经皮椎体成形术中的实用性存在争议。我们的 目的是确定先前的静脉造影术是否可以改善 临床结果和/或减少这些过程中椎骨水泥外渗 。 方法：我们回顾性回顾了在我们机构进行的连续经皮 椎体成形术程序的结果，以定义 两个人群，每个人群由24位经42 椎体治疗的患者组成水平。第1组包括接受过 静脉造影的患者，第2组包括未经静脉造影的接受治疗的患者。 通过疼痛和活动度的定量测量来评估临床结局。解释了静脉图和术后X线片 ，以评估椎骨外椎骨 水泥渗出，各个级别渗出程度， 以及静脉造影与结果：20组1例患者中有19例疼痛得到改善，而22组2例患者中有21例疼痛得到改善； supper 椎体成形术。术后平均疼痛水平 分别为1.3和1.8（P = .50），评分范围为0（无疼痛）至10（最痛）。 术前活动受损的所有11组1例患者术后均改善，因为 全部12组2例患者。第1组和第2组的术后 运动障碍的平均水平分别为0.35和0.27（P = .43）。在第1组中治疗的42块椎骨中有22例表现出 外渗，而在第2组中，有42颗中的28椎表现出（P = .266）； 外渗量没有差异。在第1组的22个 外渗水平中，有14个静脉图显示相关的 外渗。 结论：先行静脉造影不能明显改善 由合格的，经验丰富的操作员进行的 经皮椎体成形术的有效性或安全性。

著录项

  • 来源
    《American Journal of Neuroradiology》 |2002年第4期|594-600|共7页
  • 作者

    John R. Gaughen Jr; Mary E. Jensen; Patricia A. Schweickert; Timothy J. Kaufmann; William F. Marx; David F. Kallmes;

  • 作者单位

    From the Department of Radiology, University of Virginia Health Services, Charlottesville;

    From the Department of Radiology, University of Virginia Health Services, Charlottesville;

    From the Department of Radiology, University of Virginia Health Services, Charlottesville;

    From the Department of Radiology, University of Virginia Health Services, Charlottesville;

    From the Department of Radiology, University of Virginia Health Services, Charlottesville;

    From the Department of Radiology, University of Virginia Health Services, Charlottesville;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号