CT导引下经皮椎间孔镜下腰椎间盘摘除术的临床应用  

Clinical Application of Percutaneous Transforaminal Endoscopic Lumbar Discectomy under the CT Guided

作　　者：邵楠[1] 邓茂松[2] 王旭[2] 金光暐[2] 尹晓明[2] 吴戈[2] 王大民[1] SHAO Nan;DENG Mao-song;WANG Xu;JIN Guang-wei;YIN Xiao-ming;WU Ge;WANG Da-min(department of orthopedics, Beijing Coal General Hospital,Beijing 100028,China;Department of Radiology, Beijing Coal General Hospital,Beijing 100028,China)

机构地区：[1]北京煤炭总医院骨科,北京100028 [2]北京煤炭总医院影像科,北京100028

出　　处：《CT理论与应用研究（中英文）》2018年第6期789-796,共8页Computerized Tomography Theory and Applications

摘　　要：目的:探讨多排螺旋CT导引下经皮椎间孔镜腰椎间盘摘除术的应用价值。方法:收集80例腰椎间盘突出症患者,都进行单一椎间盘经皮椎间孔镜间盘摘除手术,全部在多排螺旋CT导引下完成。结果:与普通X线透视下椎间孔镜手术比较,CT导引下操作更简便,能够更准确预测手术穿刺部位、穿刺路径角度和深度,提高穿刺成功率,缩短手术时间,并减少术中相关组织结构损伤发生几率,减少并发症。结论:CT导引下经皮椎间孔镜腰椎间盘摘除术是安全可靠的,与普通X线透视下手术比较能够取得更好的诊疗效果,可以在临床大力推广。Objective: To investigate the value of multi-slice spiral CT guided percutaneous transforaminal lumbar discectomy. Methods: Eighty patients with lumbar disc herniation were enrolled in this study. All of them underwent single disc intervertebral disc discectomy, all under the guidance of multi-slice spiral CT. Results:Compared with the conventional fluoroscopy, the operation under CT guidance is more convenient, which can predict the puncture site and puncture path angle and depth more accurately, shorten the operation time and reduce the occurrence of intraoperative tissue damage Probability, reduce complications. Conclusion: CT guided percutaneous transforaminal lumbar discectomy is safe and reliable, and can achieve better diagnosis and treatment effect, which can be vigorously promoted in clinic.

关 键 词：多排螺旋CT 经皮椎间孔镜 椎间盘摘除术 

分 类 号：R812[医药卫生—放射医学] R445[医药卫生—临床医学]