文章摘要
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)
作者单位E-mail
胡芳铭 东莞市寮步医院超声科广东东莞 523400 176776071@qq.com 
雷丽香 东莞市寮步医院超声科广东东莞 523400  
邱洁 东莞市寮步医院超声科广东东莞 523400  
杨昌宇 东莞市寮步医院骨科广东东莞 523400  
林盛财 东莞市寮步医院骨科广东东莞 523400  
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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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