在野战综合手术救治方舱内施行经皮椎体成形术的临床可行性研究  

Feasibility study of percutaneous vertebroplasty in field comprehensive medical shelter

作　　者：赵阳阳 范东娇 谢雁春 李卓 毕大鹏 于海龙 ZHAO Yang-yang;FAN Dong-jiao;XIE Yan-chun;LI Zhuo;BI Da-peng;YU Hai-long(Graduate School of Dalian Medical University,Dalian 116044,Liaoning Province,China;Department of Orthopedics,General Hospital of Northern Theater Command,Shenyang 110016,China;Department of Ultrasonography,Xingtai People's Hospital,Xingtai 054001,Hebei Province,China)

机构地区：[1]大连医科大学研究生院,辽宁大连116044 [2]北部战区总医院骨科,沈阳110016 [3]邢台市人民医院超声科,河北邢台054001

出　　处：《医疗卫生装备》2018年第12期62-64,73,共4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:探讨在自然灾害条件下于野战综合手术救治方舱内施行胸腰椎经皮椎体成形术(percutaneous vertebroplasty,PVP)的可行性,从而降低伤员的致残率和死亡率。方法:选取8只实验猪在方舱内实施胸腰椎PVP手术并统计分析手术时间、术中失血量、术中骨水泥有无渗漏及术后四肢活动情况。结果:手术时间为60～86 min,平均手术时间为75 min;失血量为2.5～7.7 ml,平均失血量为5.73 ml。术中胸腰椎施术节段椎体骨水泥无一渗漏,术后所有实验猪均可正常行走,且步态未见异常。结论:在野战综合手术救治方舱内施行胸腰椎PVP手术创伤小、手术时间短、失血少、骨水泥无渗漏、恢复快,具有一定可行性。Objective To explore the feasibility of percutaneous vertebroplasty(PVP)in the field medical comprehensive shelter during disaster relief so as to decrease the mortality and morbidity of the casualties.Methods Eight experimental pigs underwent PVP,and then had such indexes analyzed statistically as operating time,intraoperative blood loss,bone cement leakage and postoperative extremities motion.Results The operation time ranged from 60 to 80 min,and the mean value was 75 min;the blood loss was from 2.5 to 7.7 ml,and the mean value was 5.73 ml;there was no bone cement leakage occurred during the operation,and all the pigs walked steadily with normal gait.Conclusion PVP can be carried out in the field medical comprehensive shelter with minimal invasion,short operating time,few blood loss,no bone cement leakage and high feasibil-ity.

关 键 词：野战综合手术救治方舱 PVP 胸腰椎骨折 骨水泥 C型臂X线机 

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