导航导杆在椎间孔镜穿刺定位的应用
发布时间：2019-01-14 07:18
【摘要】：目的 :探讨导航导杆引导椎间孔镜手术穿刺定位的作用,分析其可行性及临床应用价值。方法 :选取2015年10月~2016年6月收治的腰椎间盘突出症患者60例,按入院顺序随机数字表法,分为导航组30例和传统组30例。两组均进行椎间孔镜手术,其中导航组采用导航导杆引导穿刺建立椎间孔镜工作套管,传统组采用传统C型臂X线机透视下建立椎间孔镜工作套管。比较两组术中穿刺次数、透视次数及穿刺时间及术后1d、3个月、6个月VAS评分。结果 :两组患者术后腰腿痛症状即刻缓解,患肢直腿抬高试验转阴性。穿刺次数,导航组穿刺为1.10±0.31次,传统组为10.53±5.55次,差异具有统计学意义(P0.05)。透视次数,导航组为8.30±1.24次,传统组为60.00±15.15次,差异具有统计学意义(P0.05)。穿刺时间,导航组为5.05±2.01min,传统组为34.80±6.32min,差异具有统计学意义(P0.05)。术后1d、3个月、6个月时VAS评分,导航组分别为2.6±0.8、1.8±0.4、1.4±0.3,传统组分别为2.8±1.1、2.1±0.2、1.6±0.5,两组病例VAS评分较术前降低(P0.05),两组病例同时间点VAS评分比较,差异无统计学意义(P0.05)。结论:利用导航导杆引可以精准引导椎间孔镜手术工作套管的建立,解决椎间孔镜技术的瓶颈问题,提高穿刺成功率,减少反复穿剌次数,避免副损伤及缩短穿刺时间,减少术者及患者X线辐射量,值得临床推广应用。
[Abstract]:Objective: to explore the role of guiding guide rod in puncture localization of intervertebral foramen surgery, and to analyze its feasibility and clinical application value. Methods: from October 2015 to June 2016, 60 patients with lumbar disc herniation were randomly divided into navigation group (n = 30) and traditional group (n = 30). The two groups underwent intervertebral foramen surgery. The navigation group used the guide rod to guide the establishment of the intervertebral foramen working casing, and the traditional group used the traditional C-arm X-ray machine to establish the intervertebral foramen working casing. The times of puncture, the times of fluoroscopy, the time of puncture and the VAS score of 1 day, 3 months and 6 months after operation were compared between the two groups. Results: the symptoms of lumbago and leg pain in both groups were immediately relieved and the leg elevation test turned negative. The times of puncture were 1.10 卤0.31 times in navigation group and 10.53 卤5.55 times in traditional group (P0.05). The frequency of fluoroscopy was 8.30 卤1.24 times in navigation group and 60.00 卤15.15 times in traditional group (P0.05). The puncture time was 5.05 卤2.01min in the navigation group and 34.80 卤6.32min in the traditional group. The difference was statistically significant (P0.05). At 1 day, 3 months and 6 months after operation, the VAS score in navigation group was 2.6 卤0.8 卤0.4 卤0.4 卤0.3, and that in traditional group was 2.8 卤1.1 卤2.1 卤0.21,1.6 卤0.5, respectively. The VAS score in both groups was lower than that before operation (P0.05). There was no significant difference in VAS score between the two groups at the same time point (P0.05). Conclusion: the use of guide rod can accurately guide the establishment of intervertebral foramen operation casing, solve the bottleneck of intervertebral foramen technique, improve the success rate of puncture, reduce the times of repeated puncture, avoid collateral injury and shorten the puncture time. It is worth popularizing clinical application to reduce the X-ray radiation dose of the patients and the patients.
【作者单位】： 广西医科大学第八附属医院骨科;
【分类号】：R687.3
，
本文编号：2408438
[Abstract]:Objective: to explore the role of guiding guide rod in puncture localization of intervertebral foramen surgery, and to analyze its feasibility and clinical application value. Methods: from October 2015 to June 2016, 60 patients with lumbar disc herniation were randomly divided into navigation group (n = 30) and traditional group (n = 30). The two groups underwent intervertebral foramen surgery. The navigation group used the guide rod to guide the establishment of the intervertebral foramen working casing, and the traditional group used the traditional C-arm X-ray machine to establish the intervertebral foramen working casing. The times of puncture, the times of fluoroscopy, the time of puncture and the VAS score of 1 day, 3 months and 6 months after operation were compared between the two groups. Results: the symptoms of lumbago and leg pain in both groups were immediately relieved and the leg elevation test turned negative. The times of puncture were 1.10 卤0.31 times in navigation group and 10.53 卤5.55 times in traditional group (P0.05). The frequency of fluoroscopy was 8.30 卤1.24 times in navigation group and 60.00 卤15.15 times in traditional group (P0.05). The puncture time was 5.05 卤2.01min in the navigation group and 34.80 卤6.32min in the traditional group. The difference was statistically significant (P0.05). At 1 day, 3 months and 6 months after operation, the VAS score in navigation group was 2.6 卤0.8 卤0.4 卤0.4 卤0.3, and that in traditional group was 2.8 卤1.1 卤2.1 卤0.21,1.6 卤0.5, respectively. The VAS score in both groups was lower than that before operation (P0.05). There was no significant difference in VAS score between the two groups at the same time point (P0.05). Conclusion: the use of guide rod can accurately guide the establishment of intervertebral foramen operation casing, solve the bottleneck of intervertebral foramen technique, improve the success rate of puncture, reduce the times of repeated puncture, avoid collateral injury and shorten the puncture time. It is worth popularizing clinical application to reduce the X-ray radiation dose of the patients and the patients.
【作者单位】： 广西医科大学第八附属医院骨科;
【分类号】：R687.3
，
本文编号：2408438
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