新型定位穿刺方法在椎间孔镜手术初学者中的应用
作者:
作者单位:

娄底市中心医院 脊柱外科十五病室,湖南 娄底 417000

作者简介:

通讯作者:

陈良龙,E-mail:728887618@qq.com;Tel:18773800628

基金项目:

湖南省科技厅医疗技术创新引导项目(No:2017SK51204);湖南省首届医学技能创新创业大赛二等奖项目(No:2019-CXCY-012)


Application of a new positioning and puncture methods in beginner of percutaneous endoscopic lumbar discectomy
Author:
Affiliation:

Department of Spinal Surgery, Loudi Central Hospital, Loudi, Hunan 417000, China

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的 探讨个体化术前设计结合定位穿刺导向器在椎间孔镜手术初学者中的应用价值。方法 选取2019年10月-2020年4月在娄底市中心医院行侧后方入路椎间孔镜手术的椎间盘突出患者32例,由同一名初学者按照常规组与实验组对应方法完成定位穿刺步骤,比较两组透视次数、穿刺成功所需的穿刺针调整次数。结果 常规组与实验组透视次数的中位数及极值分别为23.50(14~32)次和10.00(8~14)次,穿刺针调整次数分别为5.50(2~13)次和1.00(0~2)次,两组比较,差异均有统计学意义(P < 0.05)。结论 椎间孔镜手术初学者应用个体化术前设计结合定位穿刺导向器可减少透视次数,提高穿刺准确性。

    Abstract:

    Objective To explore the application value of individualized preoperative design combined with localization puncture guide in beginner of percutaneous endoscopic lumbar discectomy.Methods 32 patients with disc herniation who underwent percutaneous endoscopic lumbar discectomy of posterior lateral appropach from October 2019 to April 2020. The same beginner completes the positioning puncture step according to the corresponding method of the regular group and the experimental group. Compare the fluoroscopy times and the puncture needle adjustment times required for successful puncture between the two groups.Results The median and extreme values of the fluoroscopy frequency of the routine group and the experimental group were 23.50 (14~32) times, 10.00 (8~14) times, and the puncture needle adjustment times were 5.50 (2~13) times, 1.00 (0 ~ 2) times (P < 0.05).Conclusion For beginners of percutaneous endoscopic lumbar discectomy, the application of individual preoperative design combined with positioning puncture guide can reduce the number of fluoroscopy and improve the accuracy of puncture.

    表 2 组内VAS评分比较 分,M(P25,P75)Table 2 Comparison of VAS scores within groups score,M(P25,P75)
    表 1 两组患者术中指标比较 M(P25,P75)Table 1 Comparison of intraoperative observation indexes between the two groups M(P25,P75)
    图2 穿刺示意图Fig.2 Puncture diagram
    图3 术前设计穿刺路线Fig.3 Pre-operative design of puncture route
    图4 两组术中观察指标比较Fig.4 Comparison of intraoperative observation indexes between the two groups
    图1 定位穿刺导向器实物图Fig.1 Physical image of positioning puncture guide
    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2020-06-05
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2021-02-03