[1]张冬生,袁金涛①,郑杰,等.计算机辅助导航系统引导下的椎弓根螺钉置入术[J].中国微创外科杂志,2008,08(6):544-551.
　Zhang Dongsheng*,Yuan Jintao,Zheng Jie*,et al.Pedicle Screw Placement under the Guidance of ComputerAssisted Navigation System[J].Chinese Journal of Minimally Invasive Surgery,2008,08(6):544-551.
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计算机辅助导航系统引导下的椎弓根螺钉置入术()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年6期
页码:
544-551
栏目:
出版日期:
2008-10-31

文章信息/Info

Title:
Pedicle Screw Placement under the Guidance of ComputerAssisted Navigation System
作者:
张冬生; 袁金涛①; 郑杰; 杨永宏; 叶虹
中国人民解放军第117医院骨一科，杭州310013
Author(s):
Zhang Dongsheng*; Yuan Jintao;  Zheng Jie*; et al.
*Department of Orthopaedics,117th Hospital of PLA, Hangzhou 310013,China
关键词:
计算机辅助导航系统; 椎弓根螺钉
Keywords:
Computer assisted navigation system (CANS);  Pedicle screw
分类号:
R681.5+3;R682.3
文献标志码:
A
摘要:
目的探讨计算机辅助导航系统在椎弓根螺钉置入手术方面的应用价值。方法2002年8月～2006年6月，采用计算机辅助导航系统引导下进行椎弓根螺钉置入手术66例，与传统手术66例进行比较。结果导航组手术时间［（142.3±5.3）min vs（173.4±7.1）min，t=-28.301,P=0.000］和术中出血量［（798.3±10.9）ml vs （912.2±14.3）ml，t=-51.463,P=0.000］显著少于传统手术组。导航组椎弓根螺钉X线片和CT扫描准确性显著高于传统组（χ2=29.424,P=0000; χ2=36.829,P=0.000）。结论计算机辅助导航系统引导下进行椎弓根螺钉置入手术较传统手术方法具有更加精确、安全、微创的特点。
Abstract:
ObjectiveTo investigate the clinical value of computerassisted navigation system (CANS) in pedicle screw placement.MethodsFrom August 2002 to June 2006, we carried out 66 cases of pedicle screw placement under the guidance of CANS; 66 cases of traditional pedicle screw placement were set as a control.ResultsThe mean operation time of CANS group was significantly shorter ［(142.3±5.3) min vs (173.4±7.1) min; t=-28.301, P=0.000］ and the blood loss was significantly fewer ［(798.3±10.9）ml vs (912.2±14.3) ml; t=-51.463, P=0.000］ than those in the control. Xray and CT scan respectively showed that the placement of pedicle screw in CANS group was significantly more accurate than that in the control. (χ2=29.424, P=0.000; χ2=36.829, P=0.000).ConclusionPedicle screw placement under the guidance of CANS is more accurate, safe, and microinvasive than traditional operation.

参考文献/References:

[1]Latine T,Lund T,Ylikoski M,et al.Accuracy of pedicles screw insertion with and without computer assistance:a randomed controlled clinical study in 100 consecutive patients.Eur Spine J,2000,9(3):235-240.
[2]杜心如，叶启彬，赵玲秀，等.腰椎人字嵴顶点椎弓根螺钉进针方法的解剖学研究.中国临床解剖学杂志，2002，20（2）：86-88.
[3]熊传芝，郝敬明，徐能.CT扫描与X光平片对椎弓根螺钉位置判断比较.中国脊柱脊髓杂志，1998，8（3）：153-154.
[4]杨永宏，叶虹，郑杰，等.骨科手术导航系统在椎弓根螺钉固定术中的应用.中国矫形外科杂志，2005，13（1）：75-76.

备注/Memo

备注/Memo:
①(河南省南阳市苑城区计划生育指导站，南阳473000)
更新日期/Last Update: 2013-10-22