[1]胡安文* 吴博文.靶点靶线体表投影穿刺法在侧路椎间孔镜技术中的应用[J].中国微创外科杂志,2020,01(3):245-249.
　Hu Anwen,Wu Bowen..Application of Target Point and Target Line Surface Projection Puncture in Lateral Transforaminal Endoscopic Surgery[J].Chinese Journal of Minimally Invasive Surgery,2020,01(3):245-249.
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靶点靶线体表投影穿刺法在侧路椎间孔镜技术中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2020年3期
页码:
245-249
栏目:
临床研究
出版日期:
2020-03-25

文章信息/Info

Title:
Application of Target Point and Target Line Surface Projection Puncture in Lateral Transforaminal Endoscopic Surgery
作者:
胡安文* 吴博文
（南华大学附属怀化市第一人民医院脊柱外科，怀化418000）
Author(s):
Hu Anwen;  Wu Bowen.
Department of Spine Surgery, First People’s Hospital of Huaihua, Affiliated to Nanhua University, Huaihua 418000, China
关键词:
侧路椎间孔镜手术; 腰椎间盘突出症; 靶点靶线体表投影穿刺; 椎间盘切除术
Keywords:
Lateral foraminoscopic surgery; Lumbar disc herniation; Target point and target line surface projection puncture; Discectomy
文献标志码:
A
摘要:
目的探讨靶点靶线体表投影穿刺法在侧路椎间孔镜手术中的作用。方法2016年5月～2018年3月采用侧路椎间孔手术治疗单节段椎间盘突出症115例，其中2017年5月~2018年3月58例行靶点靶线体表投影穿刺法置管为A组，2016年5月~2017年5月57例行常规穿刺置管法为B组，比较2组术中穿刺置管时间、透视次数和手术时间，采用视觉模拟评分法(Visual Analogue Score，VAS)、Oswestry 功能障碍指数(Oswestry Disability Index，ODI) 评估手术效果。结果2组均无并发症发生。与B组对比， A组穿刺置管时间明显缩短［(25.3±4.7) min vs. (31.3±6.5) min，t=-5.632，P=0000］，透视次数明显减少［(12.6±3.2)次 vs. (22.6±6.5)次，t=-10.558，P=0.000］，手术时间明显缩短［(62.2±14.8) min vs.(87.5±189) min，t=-7.978，P=0000］。2组术后住院时间、随访时间、末次随访VAS评分和ODI无统计学差异（P＞0.05）。 结论与常规穿刺比较，靶点靶线体表投影穿刺能提高穿刺准确率，减少辐射危害，使手术时间缩短，值得在临床中推广。
Abstract:
ObjectiveTo observe the role of target point and target line surface projection puncture in lateral transforaminal endoscopic surgery. MethodsFrom May 2016 to March 2018, 115 patients with single segment disc herniation underwent lateral transforaminal endoscopic surgery. Among them, 58 cases were treated by target point and target line surface projection puncture method as group A, and 57 cases were treated by routine puncture method as group B. There was no significant difference in preoperative general data between the two groups (P>0.05). The puncture time, fluoroscopy times and operation time were compared, and the Visual Analogue Score (VAS) and Oswestry Disability Index (ODI) were used to evaluate the operation effects.ResultsNo complications occurred in both groups. As compared with group B, the group A had shorter puncture time ［(25.3±47) min vs. (31.3±6.5) min, t=-5.632, P=0.000］, fewer fluoroscopy times ［(12.6±3.2) min vs. (22.6±6.5) min, t=-10.558, P=0.000］, and shorter surgery time ［(62.2±14.8) min vs. (87.5±18.9) min, t=-7.978, P=0.000］. There were no significant differences in hospital stay, followup time, VAS and ODI at the last followup between the two groups (P>0.05).ConclusionsCompared with routine puncture, target point and target line surface projection puncture can improve puncture accuracy, reduce radiation hazards, and shorten operation time. It is worthy of popularizing in clinical practice.

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备注/Memo

备注/Memo:
*通讯作者，Email:huanwen99@tom.com
更新日期/Last Update: 2020-06-19