本文關鍵詞： 椎間孔鏡 腰5骶1節(jié)段 影像學評估　出處：《蘇州大學》2015年碩士論文　論文類型：學位論文

【摘要】：目的:經(jīng)皮內(nèi)鏡下經(jīng)椎間孔入路治療腰5骶1椎間盤突出癥的術前影像學評價對于腰5骶1側(cè)路鏡手術的指導意義。方法:回顧性分析2010年3月--2013年11月我院53例采用經(jīng)皮內(nèi)鏡下經(jīng)椎間孔入路治療的腰5骶1椎間盤突出癥患者的影像學資料,主要影像評估指標:X線:正位片:腰5橫突的下緣距離腰5椎弓根下緣的距離a(為測量c點做準備)、從腰5和骶1椎弓根內(nèi)側(cè)緣連線與骶1椎體上緣交點(即穿刺目標點)引與髂嵴相切的直線b。側(cè)位片:穿刺目標點和腰5橫突下緣(側(cè)位片橫突下緣顯示不清,通過所測距離a確定)所引直線與皮膚的交點c、將c點轉(zhuǎn)換到正位片引水平線d、b線與d線的交點e,從穿刺目標點到椎弓根下方7mm所引直線g、g線與d線的交點k,椎間孔的高度H。結(jié)果:a的大小在0.23-0.88cm之間;E點位于k點外側(cè)40例,E點位于k點內(nèi)側(cè)13例;椎間孔的高度16.3±2.3cm。結(jié)論:利用所測各項指標能夠有效指導能否進行腰5骶1椎間盤的側(cè)路鏡手術。
[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 鹵2.3cm.Conclusion: using the measured indexes can effectively guide the operation of lumbar 5 sacral 1 disc.
【學位授予單位】：蘇州大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R687.3

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相關期刊論文 前1條

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