腰5骶1经皮穿刺椎间孔入路的影像学研究

发布时间：2018-02-28 00:09

本文关键词： 椎间孔镜腰5骶1节段影像学评估　出处：《苏州大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:经皮内镜下经椎间孔入路治疗腰5骶1椎间盘突出症的术前影像学评价对于腰5骶1侧路镜手术的指导意义。方法:回顾性分析2010年3月--2013年11月我院53例采用经皮内镜下经椎间孔入路治疗的腰5骶1椎间盘突出症患者的影像学资料,主要影像评估指标:X线:正位片:腰5横突的下缘距离腰5椎弓根下缘的距离a(为测量c点做准备)、从腰5和骶1椎弓根内侧缘连线与骶1椎体上缘交点(即穿刺目标点)引与髂嵴相切的直线b。侧位片:穿刺目标点和腰5横突下缘(侧位片横突下缘显示不清,通过所测距离a确定)所引直线与皮肤的交点c、将c点转换到正位片引水平线d、b线与d线的交点e,从穿刺目标点到椎弓根下方7mm所引直线g、g线与d线的交点k,椎间孔的高度H。结果:a的大小在0.23-0.88cm之间;E点位于k点外侧40例,E点位于k点内侧13例;椎间孔的高度16.3±2.3cm。结论:利用所测各项指标能够有效指导能否进行腰5骶1椎间盘的侧路镜手术。
[Abstract]:Objective: to evaluate the value of preoperative imaging evaluation in the treatment of lumbar 5 sacral 1 disc herniation by percutaneous endoscopic approach. Methods: 53 cases of lumbar 5 sacral 1 lumbar disc herniation were retrospectively analyzed from March 2010 to November 2013. Imaging data of lumbar 5 sacral 1 disc herniation treated by percutaneous endoscopic approach of intervertebral foramen. Main imaging evaluation measures: X ray: positive film: distance from the lower edge of the lumbar 5 transverse process to the lower edge of the lumbar 5 pedicle (to prepare for the measurement of point c, from the medial margin of the lumbar 5 and sac1 pedicle to the superior margin of the sac1 vertebral body). Straight line b. Lateral radiographs tangent to iliac crest: puncture target point and the lower margin of the lumbar 5 transverse process (the lower edge of the transverse process of the lateral film is not clear,). By determining the distance a) the point c of the intersection of the line cited with the skin is converted to the intersection point of line DGB and line d from the point of the puncture target to the intersection of the line GG and the line d of the pedicle from the point of the puncture target to the point of intersection of the line GG and line d under the pedicle of the vertebrae, and the point of intersection of the line GG and the line d of the vertebrae. Results between 0.23 and 0.88 cm, the E point was located on the lateral side of k point in 40 cases and the E point was located on the medial side of k point in 13 cases. The height of intervertebral foramen was 16.3 卤2.3cm.Conclusion: using the measured indexes can effectively guide the operation of lumbar 5 sacral 1 disc.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

【参考文献】