Clinical Application of Percutaneous Transforaminal Endoscopic Lumbar Discectomy under the CT Guided
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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。Abstract: 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.
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期刊类型引用(5)
1. 王勇，陆彪，符光戌，肖爱萍，罗政. 经皮椎间孔镜下腰椎间盘髓核摘除术和开放腰椎间髓核摘除术治疗青少年腰椎间盘突出症的临床观察. 武汉大学学报(医学版). 2023(07): 868-872 . 
百度学术
2. 周大鹏，马宗雷，张序瑞，王红梅，杨丽萍，刘香玲，关家文. 武警官兵腰椎间盘突出症的CT定位内镜手术. 中国矫形外科杂志. 2023(20): 1914-1917 . 百度学术
3. 钟事宏. 16排螺旋CT在腰椎间盘突出症诊断中的应用价值. 医疗装备. 2021(10): 13-14 . 百度学术
4. 张丽新. 对比MR与CT诊断椎间盘突出的价值. 医学食疗与健康. 2020(15): 168-169 . 百度学术
5. 耿海涛，王旸，陈小港，李扬，陈学凤，王金田，乔远，苏启超. 三维CT导航辅助椎间孔镜手术治疗腰椎间盘突出症的疗效及安全性分析. 山东医药. 2020(35): 68-71 . 百度学术
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