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Radiology：X线摄影及锥束CT引导下定位对病理性骨盆骨折内固定植入的价值

2019-04-27 shaosai MedSci原创

X线摄影锥束CT引导下定位病理性骨盆骨折内固定
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本研究旨在利用X线摄影及锥束CT细针引导软件对骨盆病理性骨折行经皮螺钉内固定(FICS)姑息行治疗的安全性和有效性进行评估。

本研究旨在利用X线摄影及锥束CT细针引导软件对骨盆病理性骨折行经皮螺钉内固定(FICS)姑息行治疗的安全性和有效性进行评估。

本研究共纳入了100例肿瘤并有骨盆病理性骨折行经皮FICS治疗的患者。利用X线摄影和锥束CT细针引导软件进行影像引导。利用配对样本T检验比较FICS术后疼痛缓和结果和阿片类药物使用情况。

本研究共纳入了100例行107次经皮FICS手术来环境141处病例骨折的患者。在107次手术中，104次(97.2%)手术成功完成，平均术后住院时间为2±3天。共有14例患者发生并发症：手术点局部疼痛超过48小时（n=5）、血肿(n = 3)、术后仍旧出现骨折(n = 2)、感染(n = 1)、肿瘤种植(n = 1)和内固定移位(n = 2)。在88名完成早期随访的患者中，平均数值评定疼痛量表评分在6周显着改善（由6.1 ± 2.5减小到2.1 ± 3.0 ，P < .001）。阿片类药物使用剂量在6周后减少（术前与术后：91.3 g ± 121 vs 64.6 g ± 124； P = .04）。

本研究表明，利用X线摄影与锥束CT引导经皮病理性骨盆骨折内固定手术史一种安全有效的的方法，能够缓解疼痛并减少阿片类药物使用。

原始出处：

Roux C， Tselikas L， Yevich S，et al.Fluoroscopy and Cone-Beam CT-guided Fixation by Internal Cemented Screw for Pathologic Pelvic Fractures.Radiology.DOI：10.1148/radiol.2018181105

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    2019-04-29 zhouqu_8

    #骨盆骨折#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1821642, encodeId=a84a1821642df, content=<a href='/topic/show?id=a6c91016e7d7' target=_blank style='color:#2F92EE;'>#骨折内#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101677, encryptionId=a6c91016e7d7, topicName=骨折内)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=838d2500169, createdName=12498cb5m13暂无昵称, createdTime=Sun Jun 09 00:28:00 CST 2019, time=2019-06-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1815085, encodeId=da531815085f6, content=<a href='/topic/show?id=f49696e5854' target=_blank style='color:#2F92EE;'>#锥束CT引导下#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=96758, encryptionId=f49696e5854, topicName=锥束CT引导下)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/6238544484D1FE65CCBBD849EAEE67C2/100, createdBy=47102500004, createdName=ms9651749636653578, createdTime=Wed Dec 04 02:28:00 CST 2019, time=2019-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1298037, encodeId=12ac129803ea7, content=<a href='/topic/show?id=c42d18892ad' target=_blank style='color:#2F92EE;'>#X线#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=18892, encryptionId=c42d18892ad, topicName=X线)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5c64275, createdName=piaojinhua, createdTime=Mon Apr 29 08:28:00 CST 2019, time=2019-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1439244, encodeId=7f01143924428, content=<a href='/topic/show?id=6785101e5620' target=_blank style='color:#2F92EE;'>#骨盆骨折#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101756, encryptionId=6785101e5620, topicName=骨盆骨折)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Mon Apr 29 08:28:00 CST 2019, time=2019-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1520576, encodeId=116215205e6dd, content=<a href='/topic/show?id=7a736264553' target=_blank style='color:#2F92EE;'>#植入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62645, encryptionId=7a736264553, topicName=植入)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=832411313664, createdName=jiyangfei, createdTime=Mon Apr 29 08:28:00 CST 2019, time=2019-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1546705, encodeId=0ad31546e0541, content=<a href='/topic/show?id=2230303e266' target=_blank style='color:#2F92EE;'>#内固定#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30372, encryptionId=2230303e266, topicName=内固定)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4faa13929419, createdName=41514491@qq.com, createdTime=Mon Apr 29 08:28:00 CST 2019, time=2019-04-29, status=1, ipAttribution=)]
    2019-04-29 jiyangfei

    #植入#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1821642, encodeId=a84a1821642df, content=<a href='/topic/show?id=a6c91016e7d7' target=_blank style='color:#2F92EE;'>#骨折内#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101677, encryptionId=a6c91016e7d7, topicName=骨折内)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=838d2500169, createdName=12498cb5m13暂无昵称, createdTime=Sun Jun 09 00:28:00 CST 2019, time=2019-06-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1815085, encodeId=da531815085f6, content=<a href='/topic/show?id=f49696e5854' target=_blank style='color:#2F92EE;'>#锥束CT引导下#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=96758, encryptionId=f49696e5854, topicName=锥束CT引导下)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/6238544484D1FE65CCBBD849EAEE67C2/100, createdBy=47102500004, createdName=ms9651749636653578, createdTime=Wed Dec 04 02:28:00 CST 2019, time=2019-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1298037, encodeId=12ac129803ea7, content=<a href='/topic/show?id=c42d18892ad' target=_blank style='color:#2F92EE;'>#X线#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=18892, encryptionId=c42d18892ad, topicName=X线)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5c64275, createdName=piaojinhua, createdTime=Mon Apr 29 08:28:00 CST 2019, time=2019-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1439244, encodeId=7f01143924428, content=<a href='/topic/show?id=6785101e5620' target=_blank style='color:#2F92EE;'>#骨盆骨折#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101756, encryptionId=6785101e5620, topicName=骨盆骨折)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Mon Apr 29 08:28:00 CST 2019, time=2019-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1520576, encodeId=116215205e6dd, content=<a href='/topic/show?id=7a736264553' target=_blank style='color:#2F92EE;'>#植入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62645, encryptionId=7a736264553, topicName=植入)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=832411313664, createdName=jiyangfei, createdTime=Mon Apr 29 08:28:00 CST 2019, time=2019-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1546705, encodeId=0ad31546e0541, content=<a href='/topic/show?id=2230303e266' target=_blank style='color:#2F92EE;'>#内固定#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30372, encryptionId=2230303e266, topicName=内固定)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4faa13929419, createdName=41514491@qq.com, createdTime=Mon Apr 29 08:28:00 CST 2019, time=2019-04-29, status=1, ipAttribution=)]
    2019-04-29 41514491@qq.com

    #内固定#

    0