【摘要】：背景:微創(chuàng)經(jīng)皮椎弓根螺釘內(nèi)固定技術(shù)具有出血少、肌肉及軟組織剝離少、術(shù)后恢復(fù)快等優(yōu)點(diǎn),而經(jīng)皮椎弓根進(jìn)針點(diǎn)定位是手術(shù)成功的關(guān)鍵。目的:探討自制網(wǎng)格定位板在經(jīng)皮椎弓根微創(chuàng)手術(shù)進(jìn)釘點(diǎn)定位中的應(yīng)用價(jià)值。方法:納入2009年3月至2015年3月在南華大學(xué)附屬第一醫(yī)院接受胸腰椎段后路經(jīng)皮椎弓根微創(chuàng)手術(shù)的患者428例,患者在經(jīng)皮椎弓根微創(chuàng)手術(shù)前隨機(jī)應(yīng)用網(wǎng)格定位板或傳統(tǒng)定位法(髂嵴定位、肋骨定位、傷椎形態(tài)定位、皮膚標(biāo)志物定位、克氏針定位和穿刺針定位法)進(jìn)行術(shù)前進(jìn)針點(diǎn)定位,比較不同定位方法的定位準(zhǔn)確率、定位時(shí)間及透視次數(shù)。結(jié)果與結(jié)論:(1)網(wǎng)格定位板定位法定位準(zhǔn)確率優(yōu)于傳統(tǒng)定位法(P0.05);定位時(shí)間短于傳統(tǒng)定位法(P0.05);定位過程中透視次數(shù)少于傳統(tǒng)定位法(P0.05)。網(wǎng)格定位板在脊柱經(jīng)皮椎弓根微創(chuàng)手術(shù)中前定位的定位準(zhǔn)確率、定位時(shí)間、透視次數(shù)均優(yōu)于傳統(tǒng)定位法;(2)結(jié)果表明,網(wǎng)格定位板法與傳統(tǒng)定位法比較,具有定位準(zhǔn)確率高、定位時(shí)間短、透視次數(shù)少等優(yōu)點(diǎn),在經(jīng)皮椎弓根微創(chuàng)手術(shù)進(jìn)針點(diǎn)定位中具有一定的優(yōu)勢(shì)。
[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.
【作者單位】： 南華大學(xué)附屬第一醫(yī)院;
【基金】：國(guó)家自然科學(xué)基金(81272055)~~
【分類號(hào)】：R687.3

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1 孫來廣,高峻紅,邢振義;三角形定位板在顱表定位中的應(yīng)用[J];河南外科學(xué)雜志;2004年02期

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