术前多层电子计算机断层扫描最佳穿刺路径设计在经皮椎体后凸成形术中穿刺的应用价值

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Abstract Objective To explore the application value of the best puncture path design of preoperative multi-slice CT(MSCT) in percutaneous kyphoplasty (PKP) in the treatment of osteoporotic compression fracture of thoracolumbar spine in PKP.Methods From January 2016 to December 2019,40 patients (46 vertebrae) with brittle compression fractures and PKP minimally invasive treatment were selected and divided into the experimental group (20 cases,25 vertebrae)and the control group (20 cases,21 vertebrae) by random lot.MSCT was used to design the best puncture path in the experimental group before operation,while routine puncture was performed under C-arm fluoroscopy in the control group.The intraoperative fluoroscopy times,operation time,intraoperative bone cement dispersion over the midline,and postoperative VAS scores of low back pain were compared between the two groups.Results All patients successfully completed the operation.In the experimental group,there were 3 cases of bone cement leakage,including 1 case of vertebral space leakage,1 case of paravertebral leakage and 1 case of prevertebral leakage.In the control group,there were 5 cases of bone cement leakage,including 1 case of vertebral space leakage,2 cases of paravertebral leakage and 2 cases of prevertebral leakage,all of which had no serious complications.The operation time of the experimental group was shorter than that of the control group,the exposure times of C-arm of the experimental group was less than that of the control group,the vas of lumbago pain of the experimental group was lower than that of the control group,the differences were statistically significant (P ＜0.05).The mumb of cement diffuses beyond that midline cone in the experimental group was more than that in the control group,the difference was statistically significant (P ＜0.05).Conclusion For patients with thoracolumbar fragile compression fracture,the bone cement dispersion effect of PKP is better than that of C-arm fluoroscopy,and the number of puncture is significantly reduced,the operation time is shortened,and the number of radiation exposure of doctors and patients is reduced.The operation of this technology is simple and the safety is higher.

Key words： Compression fracture Preoperative multislice spiral CT Optimal path design Puncture point Percutenous kyphoplasty

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	Articles by authors
	CUI Xiao-rong
	LI Shi-liang
	SUN Hai-dong
	ZHU Xiao-ming
	Lian Yu-cai
	LI Xiang-yang
	LI Yu-min
	WU Ning

Cite this article:

CUI Xiao-rong,LI Shi-liang,SUN Hai-dong, et al. Application value of the best puncture path design of preoperative multislice CT in puncture of percutaneous kyphoplasty[J]. 中国当代医药, 2020, 27(31): 166-168.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I31/166

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