混合现实技术引导微创椎间孔穿刺定位与盲穿刺定位的临床应用对比研究  

Comparative study on clinical application of hybrid reality guided minimally invasive foramen puncture and blind puncture

作　　者：蔺啸 杨涛 李栋 LIN Xiao;YANG Tao;LI Dong(Xingyuan Hospital of Yulin/4th Hospital of Yulin Orthopedics 1 Department,Yulin,Shaanxi 719000,China)

机构地区：[1]榆林市星元医院/榆林市第四医院骨一科,陕西榆林719000

出　　处：《颈腰痛杂志》2024年第3期467-470,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的 探讨混合现实技术引导微创椎间孔穿刺定位与盲穿刺定位的临床应用效果。方法 选择2019年7月至2021年6月在该院接受经皮椎间孔镜椎间盘切除术(percutaneous transforaminal endoscopic discectomy, PTED)治疗的74例腰椎间盘突出症患者作为研究对象,采用随机数字表法将患者分为对照组和研究组各37例。对照组采用传统C型臂X线机定位进行椎间孔穿刺,研究组采用混合现实引导技术。观察两组患者术中穿刺次数、透视次数、手术时间和术后并发症,记录两组患者术前、术后1 d、术后3个月、术后6个月时的VAS评分。结果 研究组穿刺次数、透视次数和手术时间均少于对照组,差异均有统计学意义(P<0.05)。两组患者术前、术后1 d、术后3个月和术后6个月时的VAS评分差异均无统计学意义(P>0.05)。研究组并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论 混合现实技术可提高PTED的穿刺准确性,减少重复穿刺次数和放射暴露时间,减少术后并发症,具有临床推广意义。Objective To explore the clinical application of hybrid reality technology in minimally invasive intervertebral foramen puncture and blind puncture.Methods 74 patients with lumbar disc herniation who were treated with percutaneous transforaminal endoscopic discectomy(PTED)in our hospital from July 2019 to June 2021 were selected as the research objects.The patients were randomly divided into control group and study group,with 37 cases in each group.The control group used traditional C-arm X-ray machine to puncture the intervertebral foramen,and the study group used mixed reality guidance.The times of intraoperative puncture,fluoroscopy,operation time and postoperative complications were observed.The VAS scores of patients in the two groups were recorded before operation,1 day after operation,3 months after operation and 6 months after operation.Results The puncture time,fluoroscopy time and operation time in the study group were significantly lower than those in the control group(P<0.05).There was no significant difference in VAS scores between the two groups before operation,1 day after operation,3 months after operation and 6 months after operation(P>0.05).The incidence of complications in the study group was significantly lower than that in the control group(P<0.05).Conclusion The hybrid reality technique can increase the puncture accuracy of PTED,reduce the number of repeated puncture and radiation exposure time,and reduce postoperative complications.It has clinical significance.

关 键 词：腰椎间盘突出症 经皮椎间孔镜技术 混合现实技术 

分 类 号：R687.3[医药卫生—骨科学]