网格定位板在经皮椎弓根微创手术进钉点定位中的应用
发布时间：2019-05-08 03:41
【摘要】：背景:微创经皮椎弓根螺钉内固定技术具有出血少、肌肉及软组织剥离少、术后恢复快等优点,而经皮椎弓根进针点定位是手术成功的关键。目的:探讨自制网格定位板在经皮椎弓根微创手术进钉点定位中的应用价值。方法:纳入2009年3月至2015年3月在南华大学附属第一医院接受胸腰椎段后路经皮椎弓根微创手术的患者428例,患者在经皮椎弓根微创手术前随机应用网格定位板或传统定位法(髂嵴定位、肋骨定位、伤椎形态定位、皮肤标志物定位、克氏针定位和穿刺针定位法)进行术前进针点定位,比较不同定位方法的定位准确率、定位时间及透视次数。结果与结论:(1)网格定位板定位法定位准确率优于传统定位法(P0.05);定位时间短于传统定位法(P0.05);定位过程中透视次数少于传统定位法(P0.05)。网格定位板在脊柱经皮椎弓根微创手术中前定位的定位准确率、定位时间、透视次数均优于传统定位法;(2)结果表明,网格定位板法与传统定位法比较,具有定位准确率高、定位时间短、透视次数少等优点,在经皮椎弓根微创手术进针点定位中具有一定的优势。
[Abstract]:Background: minimally invasive percutaneous pedicle screw fixation has the advantages of less bleeding, less muscle and soft tissue exfoliation, and quick recovery after operation. The location of percutaneous pedicle screw fixation is the key to the success of the operation. Objective: to evaluate the application value of self-made mesh plate in percutaneous minimally invasive pedicle surgery. Methods: from March 2009 to March 2015, 428 patients who underwent percutaneous minimally invasive thoracolumbar pedicle surgery in the first affiliated Hospital of South China University were enrolled. Before minimally invasive percutaneous transpedicular surgery, patients were randomly located with mesh plates or traditional localization methods (iliac crest localization, rib localization, morphological localization of injured vertebrae, skin marker localization, Kirschner pin localization and puncture needle localization). The location accuracy, location time and perspective times of different localization methods were compared. Results & conclusion: (1) the accuracy of grid positioning method is better than the traditional positioning method (P0.05); the positioning time is shorter than the traditional positioning method (P0.05); the number of perspective in the localization process is less than the traditional positioning method (P0.05). The anterior localization accuracy, location time and fluoroscopy times of the mesh plate were better than the traditional localization method in the minimally invasive operation of the percutaneous pedicle of spine. (2) the results show that the grid positioning plate method has the advantages of high localization accuracy, short positioning time and fewer fluoroscopy times compared with the traditional positioning method, and it has some advantages in the location of needle points in percutaneous transpedicular minimally invasive surgery.
【作者单位】： 南华大学附属第一医院;
【基金】：国家自然科学基金(81272055)~~
【分类号】：R687.3
本文编号：2471590
[Abstract]:Background: minimally invasive percutaneous pedicle screw fixation has the advantages of less bleeding, less muscle and soft tissue exfoliation, and quick recovery after operation. The location of percutaneous pedicle screw fixation is the key to the success of the operation. Objective: to evaluate the application value of self-made mesh plate in percutaneous minimally invasive pedicle surgery. Methods: from March 2009 to March 2015, 428 patients who underwent percutaneous minimally invasive thoracolumbar pedicle surgery in the first affiliated Hospital of South China University were enrolled. Before minimally invasive percutaneous transpedicular surgery, patients were randomly located with mesh plates or traditional localization methods (iliac crest localization, rib localization, morphological localization of injured vertebrae, skin marker localization, Kirschner pin localization and puncture needle localization). The location accuracy, location time and perspective times of different localization methods were compared. Results & conclusion: (1) the accuracy of grid positioning method is better than the traditional positioning method (P0.05); the positioning time is shorter than the traditional positioning method (P0.05); the number of perspective in the localization process is less than the traditional positioning method (P0.05). The anterior localization accuracy, location time and fluoroscopy times of the mesh plate were better than the traditional localization method in the minimally invasive operation of the percutaneous pedicle of spine. (2) the results show that the grid positioning plate method has the advantages of high localization accuracy, short positioning time and fewer fluoroscopy times compared with the traditional positioning method, and it has some advantages in the location of needle points in percutaneous transpedicular minimally invasive surgery.
【作者单位】： 南华大学附属第一医院;
【基金】：国家自然科学基金(81272055)~~
【分类号】：R687.3
【相似文献】
相关期刊论文 前1条
1 孙来广,高峻红,邢振义;三角形定位板在颅表定位中的应用[J];河南外科学杂志;2004年02期
，本文编号：2471590
本文链接：https://www.wllwen.com/yixuelunwen/waikelunwen/2471590.html
最近更新
教材专著
