CAJ | 학술논문

目的减少经椎弓根内固定手术失误。方法对23例经椎弓根内固定手术失误病例进行失误原因分析。结果认为本组失误原因主要是手术医生不熟悉患者局部解剖学特点，没按照手术要求和规范操作。结论熟悉患者局部解剖，严格按照经椎弓根内固定手术要求和规范操作，术中应用荧光增强设备定位监视，做好手术后处理，是减少经椎弓根内固定手术失误的主要措施。
목적감소경추궁근내고정수술실오。방법대23례경추궁근내고정수술실오병례진행실오원인분석。결과인위본조실오원인주요시수술의생불숙실환자국부해부학특점，몰안조수술요구화규범조작。결론숙실환자국부해부，엄격안조경추궁근내고정수술요구화규범조작，술중응용형광증강설비정위감시，주호수술후처리，시감소경추궁근내고정수술실오적주요조시。
Objective Toreduce the operation mistakes of transpendicular internal fixation．Methods The mistakes in the processes of 23 cases of transpendicular internal fixatien operation were analized to find out the reasons．Results The main reasons for this group were that the operators were unfamiliar with the specialities of patients’ partial anatomy and didn’t operated according to the correct operation rules．Conclusion In order to decrease the operation errors of transpendicular internal fixation，the operators should do the work perfectly in the following 4 aspects：（1）being familiar with patients’ partial anatomy．（2）operating strictly according to the fixational operation requirement．（3）using fluorescent increasing facilities to localize and monitor intraoperatively．（4）dealing with the postoperative work correctly．