在野战综合手术救治方舱内实施经皮椎体后凸成形术的可行性研究  

Feasibility of implementing percutaneous kyphoplasty in field comprehensive surgical shelter

作　　者：轩安武 谢雁春 李卓[1] 赵阳阳[1] 于海龙[1] XUAN An-wu;XIE Yan-chun;LI Zhuo;ZHAO Yang-yang;YU Hai-long(Department of Orthopedics,General Hospital of Shenyang Military Area Command,Shenyang 110016,China)

机构地区：[1]沈阳军区总医院骨科,沈阳110016

出　　处：《医疗卫生装备》2018年第4期39-42,46,共5页Chinese Medical Equipment Journal

基　　金：辽宁省自然科学基金计划重点项目(20170540958)

摘　　要：目的 :探讨各种自然灾害条件下,在野战综合手术救治方舱内实施经皮椎体后凸成形术的可行性。方法 :选择5头正常实验用小猪,模拟自然灾害条件下在野战综合手术救治方舱内实施经皮椎体后凸成形术,观察手术时间、术中出血量、并发症发生情况及术后存活率。结果:5头小猪均顺利完成经皮椎体后凸成形手术,术后四肢活动良好、存活良好,平均手术时间为(43±5.7)min,平均术中失血量为(42±3.6)ml;其中有1头小猪术中出现骨水泥渗漏入椎间隙,但术后四肢活动良好,其余小猪均未出现手术相关并发症。结论:野战综合手术救治方舱内具备进行经皮椎体后凸成形术的条件,可以将急救延伸到灾害一线条件下进行。Objective To investigate the feasibility to execute percutaneous kyphoplasty(PKP)in the field comprehensive surgical shelter during kinds of natural disasters.Methods Five experimental pigs underwent PKP in a comprehensive surgical shelter during simulated natural disasters,and were observed for operating time,intraoperative blood loss,complications and postoperative survival rate.Results All the 5 pigs had the operations completed successfully with high postoperative performances in extremities motion and survival rate,and the mean operating time was(43±5.7)min and the mean intraoperative blood loss was(42±3.6)ml.Cement penetrated into the intervertebral space of one pig with satisfactory extremities motion,while no complications occurred in the other pigs.Conclusion The comprehensive surgical shelter proves to enable PKP,and thus extends emergency treatment to the frontier during simulated natural disasters.

关 键 词：野战综合救治方舱 胸腰椎骨折 经皮椎体后凸成形术 动物实验 可行性研究 

分 类 号：R318[医药卫生—生物医学工程] R197.39[医药卫生—基础医学]