PKP术后患者再骨折危险因素分析_朱书涛_刘洋_张明辉_李国军_姜峰_张鹏_武豪[1]

241620168OrthopedicJournalofChinaVol.24No.16Aug．2016··PKP△475000PKP。20102～20146PKP248。29、217。、、。2911.7%PKP。Logistic、、、、、、PKP。、、、、、、PKP。Ｒ683.42A1005－8478201616－1445－04Ｒiskfactorsofre－fractureafterpercutaneouskyphoplasty∥ZHUShu－taoLIUYangZHANGMing－huietal．OrthopaedicDepartmentHuaiheHospitalAffiliatedtoHenanUniversityKaifengHenan475000ChinaAbstractObjectiveToinvestigatetheriskfactorsofre－fractureafterpercutaneouspercutaneouskyphoplastyPKP．MethodAtotalof248casesofcompressionfracturespatientstreatedbyPKPinourhospitalfromFebruary2010toJune2015wereretrospectivelyanalyzed．Basedonre－fracturestatuspatientsweredividedintore－fracturegroup29casesandno－refracturegroup217cases．Theclinicaldataoperativedataandimagingresultsoftwogroupswererecordedandtheriskfactorsofre－fractureafterpercutaneouskyphoplastywereanalyzed．ＲesultＲe－fracturewasfoundin29cases11．69%afterPKP．UnivariateandLogisticregressionanalysisresultsshowedageinjuriedvertebralnumberssurgeryvertebralsurgerynumberbonemineraldensitykyphosisanglechangeformerhighvarietyandcementleakageweretheriskfactorsofre－fractureafterpercutaneouskyphoplasty．ConclusionAfterPKPcompressionfracturesiseasytooccurrre－fractureandtheageinjuriedvertebralnumbersurgeryvertebralsurgerynumberbonemineraldensitykyphosisanglechangeformerhighvarietyandcementleakagearetheriskfactorsofre－fracture．Keywordscompressionfracturepercutaneouskyphoplastyre－fractureriskfactorsDOI10．3977/j．issn．1005－8478．2016．16．02△W2013ZT13518668968142、、。percutaneouskyphoplastyPKPPKP10%1。PKP、。PKP。11.120101～20146PKP248。1。2952461～8773.9±5.3。2176515252～8469.8±9.8。1.21、、2X2。5441241620168OrthopedicJournalofChinaVol.24No.16Aug．20161.3、、、BMD、、、VAS、、、、、、、。VAS40～102d。CHAL-LENGEＲXT≤－2.5SD。1.4SPSS19.0。tχ2Logistic。P＜0.05。22.124813815.3%、2911.7%。2.2、、、BMD、、、PKP。1、2。1PKP珋x±stP69.84±7.8973.91±5.312.6950.0081.49±0.622.58±0.738.7010.0001.19±0.491.85±0.646.5520.000VAS2.60±0.692.41±0.541.4250.156BMDg/cm2－2.95±0.51－3.31±0.373.671＜0.001°20.02±8.8921.28±11.190.6940.488°4.53±4.868.49±4.714136＜0.001°0.71±0.130.66±0.191.8300.069°0.10±0.090.14±0.032.3720.0192PKP%χ2P6530.0517.22.0310.15415270.02482.87132.7724.10.8700.351T11－L214667.32275.916777.02172.40.2930.5885023.0827.61882.92069.070.095＜0.00119917.1931.02.3Logistic、、、BMD、、、PKP。3。6441241620168OrthopedicJournalofChinaVol.24No.16Aug．20163PKPLogisticBS.E.WaldPOＲ95%CI1.2940.4073.9730.0133.4181.528～4.1421.7480.4534.6870.0044.5161.426～5.4341.8940.6085.6300.0005.2041.659～6.7851.9920.8336.5240.0006.4951.408～7.986BMD2.8900.5756.6010.0004.8631.842～8.4281.3750.3893.5640.0003.1620.896～3.2040.9280.3683.0430.0192.4980.784～3.6023。PKPPKP。6～8。1218166.5%～26.3%4。24813815.3%、2911.7%。PKP。Logistic、、、BMD、、、PKP。9。10。Logistic。PKP。Igor11＞2≤27.4。Logistic。。Logistic。PKP、、。Christos12。PKP12～12.613。Logistic。13。Logistic。14。Logistic。Kim15、16。Logistic。PKP、、、、、、。7441241620168OrthopedicJournalofChinaVol.24No.16Aug．20161．J．20142541916－1918．2．J．20143311456－1458．3．J．20132518221－222．4．J．2013564251－253．5．J．2015414165－166．6．J．2013321496－98．7．J．2012343508－509．8．PKPPVPJ．20121511012－1014．9．J．2012562123－125．10．J．20143482140－2141．11MovrinI．Adjacentlevelfractureafterosteoporoticvertebralcompres-sionfractureanonrandomizedprospectivestudycomparingballoonkyphoplastywithconservativetherapyJ．WienerKlinischeWochen-schrift2012259128－130．12ChristosP．HypovitaminosisDasariskfactorofsubsequentvertebralfracturesafterkyphoplastyJ．SpineJ2012324224－226．13．J．201414252－54．14．J．2012212168－170．15KimYYＲhyuKW．ＲecompressionofvertebralbodyafterballoonkyphoplastyforosteoporoticvertebralcompressionfractureJ．EurSpineJ20123631123－1125．16．32J．2012428107－109．2015-11-102015-11-30··20161014～16。、。、、、。1．20161014～166502．12、、345。3．1、2500、、3、、、、e－mail42016914。[e-mail]。。8441