| 胡芳铭,雷丽香,邱洁,等.肌骨超声辅助定位在经皮椎间孔镜穿刺技术中的临床价值.骨科,2021,12(6): 509-512. |
| 肌骨超声辅助定位在经皮椎间孔镜穿刺技术中的临床价值 |
| Clinical Value of Musculoskeletal Ultrasound-assisted Localization in Percutaneous Transforaminal Endoscopic Discectomy Puncture Technology |
| 投稿时间：2021-04-07 |
| DOI：10.3969/j.issn.1674-8573.2021.06.005 |
| 中文关键词: 肌骨超声 经皮椎间孔镜 穿刺技术 |
| 英文关键词: Musculoskeletal ultrasound Percutaneous transforaminal endoscopy Puncture technology |
| 基金项目:东莞市社会科技发展（一般）项目（202050715039879） |
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| 中文摘要: |
| 目的 评价肌骨超声辅助定位在经皮椎间孔镜穿刺技术中的临床价值。方法 将2018年6月至2020年12月我院收治的48例拟行经皮椎间孔镜治疗腰椎间盘突出症的病人随机分为两组。C臂透视组24例，常规在“C”型臂X线机透视下完成椎间孔穿刺；超声辅助组24例，在“C”型臂X线机透视下辅以肌骨超声引导完成椎间孔穿刺。统计比较两组的总穿刺时间、穿刺次数、穿刺并发症、术中透视次数、术后24 h的疼痛视觉模拟量表（visual analogue scale，VAS）评分、日本骨科协会（Japanese Orthopaedic Association，JOA）腰椎评分。结果 两组均顺利完成手术，未出现穿刺并发症。超声辅助组的总穿刺时间、穿刺次数、术中透视次数较C臂透视组显著减少，差异均有统计学意义（P均＜0.05）。两组术后24 h的VAS评分、JOA评分比较，差异均无统计学意义（P均＞0.05）。结论 “C”型臂X线机引导椎间孔穿刺在肌骨超声辅助下能够提高穿刺准确性、穿刺效率，减少放射伤害，值得临床推广。 |
| 英文摘要: |
| Objective To evaluate the clinical value of musculoskeletal ultrasound-assisted localization in percutaneous transforaminal endoscopic discectomy puncture technology. Methods A total of 48 patients with lumbar disc herniation who underwent percutaneous endoscopic lumbar discectomy (PELD) surgery from June 2018 to December 2020 in our houspital were divided into X-ray guidance group and ultrasound-assisted group randomly. A total of 24 patients in X-ray guidance group were treated under C-arm X-ray guidance, and 24 patients in ultrasound-assisted group were treated under combined guidance of X-ray and musculoskeletal ultrasound. The differences in number of puncture, total puncture time, puncture-related complications, number of fluoroscopic examinations, visual analogue scale (VAS) acores and Japanese Orthopaedic Association (JOA) scores at 24 h after surgery were analyzed. Results The operations of both groups were successfully completed without surgical complications. The total puncture time in ultrasound-assisted group was significantly shorter than in the X-ray guidance group (P＜0.05). The number of puncture and fluoroscopic examinations in ultrasound-assisted group were significantly fewer than in the X-ray guidance group (P＜0.05), but there were no significant differences in VAS score and JOA score at 24 h after surgery between the two groups (P＞0.05). Conclusion Musculoskeletal ultrasound-assisted localization in percutaneous transforaminal endoscopic discectomy puncture technology can reduce the harm of radiation and improve the accuracy and efficiency of puncture. It is worthy clinical promotion. |
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