俯卧位与侧卧位对后路腰椎间盘摘除手术的影响  

The Effect of Prone and Lateral Position on the Lumbar Discectomy by Posterior Approach

作　　者：廖绿梅[1] 黎小冰[1] 张群秀[1] 阮飞玲[1] 

机构地区：[1]广东医学院附属医院手术室,广东湛江524001

出　　处：《河北医学》2007年第6期670-672,共3页Hebei Medicine

摘　　要：目的:比较两种不同手术体位在后路腰椎间盘摘除手术中的优劣。方法:选择80例后入路腰椎间盘摘除术分别分成俯卧位组与侧卧位组;观察手术时间、出血量、肺通气及对手术耐受情况,分析两种手术体位中存在利弊。结果:两种手术体位对手术的时间、出血量存在明显差异(p<0.01)。结论:俯卧位与侧卧位均为后路腰椎间盘摘除术常用的手术体位,采用双轨可调式拱形脊柱支架摆置俯卧位比侧卧位有明显的优越性。Objective： To compare the effect of two different positions on the lumbar discectomy through posterior approach. Method： Choose 80 cases of patients that receive lumbar discectomy, and randomly divided them into two groups, the prone position group and lateral position group; the index such as the operating time, the amount of bleeding, lung ventilation and operating tolerance were observed, and the advantage and disadvantage of the two conditions were analyzed. Result： There were obvious differences in lasting time and bleeding amount of the operation （ P 〈 0.01 ）. Conclusion： The prone and lateral position are frequently used in lumbar diseectomy by posterior approach, the former which can be carried out by spinal brace was superior to the latter.

关 键 词：手术体位 腰椎间盘 手术 

分 类 号：R687.3[医药卫生—骨科学]