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背景:椎体成形术是治疗老年骨质疏松性椎体压缩骨折的一种较好方法,但有些并发症较为常见,其中骨水泥渗漏可导致严重的后果.目的:探讨CT引导下椎体成形术治疗骨质疏松性椎体压缩骨折骨水泥渗漏的控制策略.方法:2013年1月至2014年3月,共133例208个椎体在CT引导下行椎体成形术,统计骨水泥渗漏的数量以及手术前后腰痛VAS评分及ODI评分,比较手术前后VAS评分及ODI评分的差异.结果:208个椎体中59个椎体发生渗漏,渗漏率约为28%,无肺栓塞及肢体感觉功能障碍等并发症发生.术前VAS评分为(6.36±2.33)分,ODI评分为62.21%±18.37%,术后VAS评分为(3.58±1.96)分,ODI评分为14.43%±9.66%,与术前相比均有统计学差异(P<0.05).结论:CT引导下椎体成形术可以精准穿刺,通过一些控制策略可减少CT引导下椎体成形术中骨水泥的渗漏率,且手术过程对医务人员“零”射线暴露.“,”Background:Vertebroplasty is an effective treatment for osteoporotic vertebral compressive fracture (OVCF). But some complications such as cement leakage, will be serious sometimes. Objective:To explore the control of cement leak-age in CT-guided vertebroplasty for OVCF. Methods:A total of 133 patients with OVCF (208 vertebral bodies) underwent CT-guided vertebroplasty from January 2013 to March 2014. Extravertebral cement leakage was retrospective analyzed. Pre-operative and postoperative VAS and ODI scores were compared. Results:Cement leakage was found in 59 vertebral bodies and the leakage rate was 28%. No pulmonary embolism, limb dyskinesia or sensory disorder happened. The preoperative VAS was 6.36 ± 2.33 and ODI score was 62.21%± 18.37%, which was significant from postoperative ones (3.58 ± 1.96 and 14.43%±9.66%, P<0.05). Conclusions:CT-guided vertebroplasty can reach the vertebral body precisely. Cement leakage can reduce by some methods CT-guided vertebroplasty so that the operation be“zero”X-ray exposure to the doctors.