本文選題：椎間孔鏡　切入點(diǎn)：穿刺　出處：《中國(guó)矯形外科雜志》2017年19期

【摘要】：[目的]評(píng)估同心球定位導(dǎo)向技術(shù)對(duì)椎間孔鏡輻射劑量及其相關(guān)疾病風(fēng)險(xiǎn)的影響。[方法]回顧性分析2015年10月~2016年8月共127例行經(jīng)皮椎間孔鏡椎間盤(pán)切除患者的資料。其中,64例采用同心球定位導(dǎo)向技術(shù)進(jìn)行輔助穿刺的病例被視為導(dǎo)向組,63例采用常規(guī)手動(dòng)盲穿的患者被視為常規(guī)組。觀察比較穿刺次數(shù)、C型臂X線機(jī)透視次數(shù)及總曝光時(shí)間、手術(shù)時(shí)間和估算的輻射劑量及相關(guān)疾病的風(fēng)險(xiǎn)。[結(jié)果]平均穿刺次數(shù)導(dǎo)向組為(1.59±0.66)次,常規(guī)組為(4.83±1.76)次;總透視次數(shù)導(dǎo)向組為(27.38±5.11)次,常規(guī)組為(36.97±7.52)次;總曝光時(shí)間導(dǎo)向組為(26.27±4.75)秒,常規(guī)組為(33.51±7.08)秒;輻射有效劑量導(dǎo)向組為(0.49±0.09)mSv,常規(guī)組為(0.63±0.14)mSv;癌癥風(fēng)險(xiǎn)導(dǎo)向組為(26.75±4.89)×10~(-9),常規(guī)組為(34.39±7.50)×10~(-9);遺傳疾病風(fēng)險(xiǎn)導(dǎo)向組為(0.97±0.18)×10~(-9),常規(guī)組為(1.25±0.27)×10~(-9);導(dǎo)向組手術(shù)時(shí)間(62.91±10.03)min,常規(guī)組(69.84±10.49)min;以上指標(biāo)兩組間比較差異均具有統(tǒng)計(jì)學(xué)意義(P0.001)。兩組患者的滿意度和并發(fā)癥的差異皆無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。[結(jié)論]同心球定位導(dǎo)向技術(shù)可以明顯提高椎間孔鏡穿刺的準(zhǔn)確性,減少手術(shù)時(shí)間,降低患者輻射有效劑量,進(jìn)而降低患者罹輻射相關(guān)病癥、遺傳疾病的風(fēng)險(xiǎn)。
[Abstract]:Objective: to evaluate the effect of concentric ball orientation on the radiation dose of intervertebral foramen and its associated disease risk.[methods] the data of 127 patients with percutaneous foramen discectomy from October 2015 to August 2016 were retrospectively analyzed.Among them, 64 patients who were guided by concentric ball orientation technique were regarded as guidance group and 63 patients with routine manual blind puncture were regarded as routine group.The fluoroscopy times, total exposure time, operation time, estimated radiation dose and the risk of related diseases were observed and compared.[results] the average puncture times were 1.59 鹵0.66 times in the guidance group, 4.83 鹵1.76 times in the routine group, 27.38 鹵5.11 times in the total fluoroscopy group, 36.97 鹵7.52 times in the routine group, 26.27 鹵4.75 seconds in the total exposure time guide group and 33.51 鹵7.08 seconds in the routine group.It has statistical significance (P 0.001).There was no significant difference in satisfaction and complication between the two groups (P 0.05).[conclusion] the concentric ball positioning and guiding technique can significantly improve the accuracy of intervertebral foramen puncture, reduce the operative time, reduce the effective dose of radiation, and then reduce the risk of radiation-related diseases and genetic diseases.
【作者單位】： 上海市第十人民醫(yī)院骨科同濟(jì)大學(xué)醫(yī)學(xué)院;
【分類(lèi)號(hào)】：R687.3
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本文編號(hào)：1726479