榫欐簮鏈熷垔缃?/p>
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妞庝綋鎴愬舰鏈強妞庝綋鍚庡嚫鎴愬舰鏈粊鏅轰箣瑙?/p>
浣滆�咃細寮犵劙鐞?/p>
姹熶腑娼?/p>
鍌呮檽鐕?/p>
鏉ユ簮锛氥�婂尰瀛︿俊鎭�?/p>
2015
骞寸
13
鏈?/p>
鎽樿锛氭浣撴垚褰㈡湳鍙婃浣撳悗鍑告垚褰㈡湳鍦ㄦ垜鍥藉紑灞曞凡閫?/p>
10
骞达紝浣滀负涓�涓柊鐢熶簨鐗╋紝璐ㄧ枒涔?/p>
澹版槸鍚屾牱瀛樺湪鐨勩�備换浣曚竴椤规妧鏈兘鏄湪涓嶆柇璐ㄧ枒鍜屽惁瀹氫腑鍙戝睍璧锋潵鐨勩�傝鎶�鏈粊鑰呰浠佹櫤鑰呰
鏅猴紝绗旇�呭笇鏈涢�氳繃浠ユ彁闂В绛旀柟寮忓紑鎷撹鑰呭妞庝綋鎴愬舰鏈殑鎬濊矾锛岃蛋鍑鸿嚜鎴戝垱鏂扮殑閬撹矾銆?/p>
鍏抽敭璇嶏細妞庝綋鎴愬舰鏈強妞庝綋鍚庡嚫鎴愬舰鏈紱鎿嶄綔锛涙敞鍏ユ潗鏂欙紱閽诲瓟鍑忓帇
妞庝綋鎴愬舰鏈紙
percutaneous vertebroplasty
锛?/p>
PVP
锛夊嵆鏄湪褰卞儚瀛︼紙
C
鑷傛垨
CT
锛夌洃鎺т笅搴旂敤
绌垮埡閽堢粡鐨�氳繃鍚庝晶鏂癸紙缁忔寮撴牴鎴栨寮撴牴鏃侊級鍗曚晶鎴栧弻渚у叆璺紝鍒拌揪妞庝綋鐨勫墠涓?/p>
1/3
锛屽彇鍑?/p>
瀵奸拡鍐呰姱锛屽啀鍚戞浣撳唴娉ㄥ皠濉厖鐗╋紙濡傝仛鐢插熀涓欑儻閰哥敳閰瓑锛夋敼鍠勬浣撳己搴︾殑鎶�鏈�傛浣撳悗鍑?/p>
鎴愬舰鏈紙
percutaneous kyphoplasty
锛?/p>
PKP
锛夋槸鍚屾浣撴垚褰㈡湳鎿嶄綔鍙栧嚭瀵奸拡鍐呰姱鍚庡皢鐞冨泭缁忕┛鍒?/p>
瀵肩妞嶅叆妞庝綋鍐咃紝閫氳繃鎵╁紶鐞冨泭灏嗘浣撴拺寮�锛屽彇鍑虹悆鍥婂啀鍚戞浣撳唴娉ㄥ皠濉厖鐗╋紝鏀瑰杽妞庝綋寮哄害
鐨勬妧鏈�傝鎶�鏈渶澶х殑浼樼偣鏄彲浠ヨ繀閫熺紦瑙ｇ柤鐥涖�佺ǔ瀹氶鎶樻浣撱�佹棭鏈熸椿鍔紝鎵撶牬浜嗗父瑙勫崸搴?/p>
淇濆畧娌荤枟鐨勬伓鎬у惊鐜紝鏀瑰杽浜嗘偅鑰呯殑鐢熸椿璐ㄩ噺
[1]
銆傜劧鑰岋紝浣犲妞庝綋鎴愬舰鏈槸鍚︿細鏈夌枒闂憿锛?/p>
绗旇�呭涓嬩互鎻愰棶瑙ｇ瓟鏂瑰紡鑳藉惁涓庝綘鐨勭枒闂笉璋嬭�屽悎鎴栧甫鏉ュ惎鍙戝憿锛?/p>
1
濡備綍鎶婃墜鏈仛濂?/p>
鎯冲繀璇昏�呬篃鏈夎繖鏍风殑闂銆傛垜浠渶瑕佹帉鎻￠�傚簲鐥囷紝棰堣叞鑳告瑙ｅ墫鍙婂悇妞庡紦鏍圭殑
E
瑙掑拰
F
瑙?/p>
[2]
锛屾湳鍓嶆牴鎹钩鐗囥�?/p>
CT
璁惧畾杩涢拡瑙掑害銆佹繁搴︾瓑鏈墠璁″垝锛屾湳涓?/p>
C
鑷傛垨
CT
瀹氫綅銆佺┛鍒哄紩瀵笺�?/p>
娉ㄥ叆閫傞噺鐨勫～鍏呯墿锛堜竴鑸兏妞?/p>
3
锝?/p>
4ml
锛岃叞妞?/p>
4
锝?/p>
5ml
锛夈�備絾鏄湪杩欐牱鐨勬搷浣滆繃绋嬩腑锛屾垜浠粛涓?/p>
鑳介伩鍏嶆墜鏈け璇�傛�庢牱鍑忓皯澶辫鍛紵鍏朵竴锛屾垜浠彲浠ュ湪妯″瀷銆佺尓鑴婇鍙婂案浣撲笂鍙嶅缁冧範鎵嬫劅銆?/p>
绗旇�呮煡鍒拌憶寤哄繝绛夎繍鐢ㄧ┛鍒洪拡鍦ㄨ兏鑵版妯″瀷涓婂厛鐩磋鍚庢殫绠卞弽澶嶄綋澶栨ā鎷熸墜鏈搷浣滐紝閫氳繃绌垮埡
閽堝湪妞庢澘銆佸叧鑺傜獊涓婄殑婊戠Щ锛屼綋浼氶拡灏栧湪妞庝綋涓嶅悓閮ㄤ綅鐨勬劅瑙夛紝鎺㈡煡鍜岃瘑鍒寮撴牴杩涢拡閮ㄤ綅杩?/p>
涓�鏀硅壇鏂规硶鏉ユ不鐤楄�佸勾楠ㄨ川鐤忔澗鍘嬬缉楠ㄦ姌鏁堟灉鑹ソ銆傝繖涓�鏂规硶瀵规湳鑰呬笉浠呯缉鐭簡瀵硅鎶�鏈殑瀛?/p>
涔犳洸绾匡紝鍔犳繁浜嗗瑙﹁妞庡紦鏍圭偣鐨勮璇嗭紝鎻愰珮浜嗘墜鏈妧鑳斤紝闄嶄綆浜嗗尰鐤楅闄╋紝鑰屼笖瀵规偅鑰呭鍔?/p>
鎵嬫湳鎴愬姛鐜囷紝鍑忓皯閫忚娆℃暟鍙婅緪灏勶紝闄嶄綆浜嗚垂鐢ㄥ強鎵嬫湳椋庨櫓
[3]
銆傚叾浜岀瑪鑰呮煡鍒伴挓鍗庣瓑浠?/p>
2006
骞?/p>
10
鏈堬綖
2008
骞?/p>
12
鏈堝埄鐢ㄧ孩澶栫嚎閫忚瀵艰埅涓?/p>
PKP
娌荤枟
32
渚嬶紙
75
涓浣擄紝
2
妞庝綋
22
渚嬶紝
3
妞?/p>
浣?/p>
9
渚嬶紝
4
妞庝綋
1
渚嬶紝鍙楃疮妞庝綋涓?/p>
T9
锝?/p>
L3
锛夐璐ㄧ枏鏉炬�ц兏鑵版浣撳帇缂╅鎶樻偅鑰咃紝鍙栧緱鑹ソ鐤?/p>
鏁堛�傜孩澶栫嚎閫忚瀵艰埅涓?/p>
PKP
鎻愰珮浜嗘墜鏈簿纭害鍜屽畨鍏ㄦ�э紝鍑忓皯
X
绾胯緪灏勶紝绗﹀悎鑴婃煴澶栫寰垱
鍙婃櫤鑳藉鑸殑鍙戝睍鏂瑰悜锛屾槸娌荤枟楠ㄨ川鐤忔澗鎬ф浣撳帇缂╅鎶樼殑涓�涓湁鏁堟柟娉?/p>
[4]
銆傜瑪鑰呰涓猴紝鍗?/p>
渚垮湪绾㈠绾胯绠楁満瀵艰埅涓嬶紝浜烘墜鎿嶄綔鎬绘湁涓�瀹氱殑澶辫鍜岃宸紝鏈�呯敤鎵嬭浆鍔ㄧ┛鍒洪拡鏃朵細鏈夋憞
鎽嗭紝瀵艰嚧杩涢拡瑙掑害鍑虹幇鍋忓樊銆傛晠鎴戜滑鑳藉惁璁炬兂鍒╃敤姣斾汉鎵嬫洿绋冲畾鐨?/p>
"
鏈烘鎵?/p>
"
鎿嶄綔鏇村ソ锛屽嵆鍦ㄨ
绠楁満銆佺孩澶栫嚎銆?/p>
CT
瀵艰埅涓嬶紝璁惧畾
"
鏈烘鎵?/p>
"
鐨勮繘閽堢偣銆佽搴︺�佹繁搴﹀悗鐢卞叾鎿嶄綔瀹屾垚宀備笉鏇村ソ銆?/p>
2
娉ㄥ叆鏉愭枡鑳藉惁鏀瑰彉