基于DR、CT及MRI多征...成形术后骨水泥渗漏危险因素_张桂川.pdf

151CHINESE JOURNAL OF CT AND MRI,FEB.2023,Vol.21,No.02 Total No.160【第一作者】张桂川，男，住院医师，主要研究方向：放射诊断。Email：1144866472qq.com【通讯作者】包子华，男，主治医师，主要研究方向：放射诊断。Email：1536376897qq.com论 著To Explore the Risk Factors of Bone Cement Leakage after Percutaneous Thoracolumbar Body Arthroplasty Based on Multiple Signs of DR,CT and MRIZHANG Gui-chuan1,YOU Lian-Bo1,GE Hai1,DENG Li1,GENG Shi-yao1,ZHU Guo-ao1,WANG Jun-da2,BAO Zi-hua1,*.1.Department of Radiology,Chongqing Nanchuan Hospital of traditional Chinese medicine,Chongqing 408400,China2.Department of Radiology,Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400021,ChinaABSTRACTObjective To explore the risk factors of bone cement leakage after percutaneous thoracolumbar vertebroplasty(PVP)based on multiple signs of DR and CT.Methods The clinical and imaging Dr,CT and MRI data of 87 patients(103 vertebral bodies)with bone cement leakage after thoracolumbar PVP in our hospital from May 2020 to April 2021 were studied retrospectively.The gender,age,vertebral wall involvement(anterior wall,lateral wall,anterior wall+lateral wall,anterior wall+lateral wall+posterior wall incomplete),fracture type(wedge-shaped,double concave,collapsed)and fracture degree(mild Moderate and severe),location of diseased vertebrae(thoracic vertebrae and lumbar vertebrae),bone mineral density,end plate injury,Schmidts tubercle,intraoperative bone cement dosage(4ml or 4ml)on bone cement leakage.Results There were significant differences in vertebral wall involvement,fracture degree,puncture path,endplate injury and bone cement dosage(P0.05).The above factors were independent risk factors of bone cement leakage.The incidence of vertebral bone cement with endplate injury was the highest,and the difference was statistically significant;The leakage rate of paravertebral soft tissue was the highest in patients with end plate injury caused by osteoporotic double concave and collapse fracture of thoracic vertebral body(P paravertebral soft tissue leakage pa