CAJ | 학술논문

目的探讨微创侧路椎间融合(extreme lateral interbody fusion,XLIF)联合经皮椎弓根螺钉内固定术治疗退行性腰椎不稳的手术配合方法。方法自2013年2月~2014年5月,我院采用微创侧路椎间融合(extreme lateral interbody fusion,XLIF)联合经皮椎弓根螺钉内固定术治疗退行性腰椎不稳症15例。结果15例手术顺利完成,术后原有症状改善明显,病人恢复快,无并发症发生。结论微创侧路椎间融合联合经皮椎弓根螺钉内固定术具有术中创伤小,出血少,术后功能恢复快等优点,是一种安全有效的手术方式。手术中器械护士除密切配合手术外,还要加强无菌台的管理,器械护士要熟知手术步骤袁熟练掌握脊柱微创器械的特点、使用方法及操作通道的安装步骤,密切配合手术及麻醉医生,缩短手术时间,减少术中出血,控制感染,减少并发症的发生袁保证手术顺利完成。因此充分的术前准备和熟练的术中配合是提高手术成功率,减少并发症的有效保证。
목적탐토미창측로추간융합(extreme lateral interbody fusion,XLIF)연합경피추궁근라정내고정술치료퇴행성요추불은적수술배합방법。방법자2013년2월~2014년5월,아원채용미창측로추간융합(extreme lateral interbody fusion,XLIF)연합경피추궁근라정내고정술치료퇴행성요추불은증15례。결과15례수술순리완성,술후원유증상개선명현,병인회복쾌,무병발증발생。결론미창측로추간융합연합경피추궁근라정내고정술구유술중창상소,출혈소,술후공능회복쾌등우점,시일충안전유효적수술방식。수술중기계호사제밀절배합수술외,환요가강무균태적관리,기계호사요숙지수술보취원숙련장악척주미창기계적특점、사용방법급조작통도적안장보취,밀절배합수술급마취의생,축단수술시간,감소술중출혈,공제감염,감소병발증적발생원보증수술순리완성。인차충분적술전준비화숙련적술중배합시제고수술성공솔,감소병발증적유효보증。
Objective Discuss the Nursing cooperation during the operation of extreme lateral interbody fusion (XLIF)and percutaneous pedicle screw internal fixation on adult degenerative lumbar spine instability.Methods Since February 2013 to May 2014,We had finished five operations in minimal y invasive extreme lateral interbody fusion (XLIF)and combined with percutaneous pedicle screw internal fixation on degenerative lumbar spinal instability.Results 15 operations were succeeded.in 15 cases, the original symptoms disappeared after the operations,The patients recovered rapidly and had no complications. Conclusion It was dif icult that the operation in minimal y invasive extreme lateral interbody fusion (XLIF)combined with percutaneous pedicle screw internal fixation,.The nursing cooperation was complex.But the benefits of the treatment included minimal y invasive,less bleeding,recovery rapidly.It was a kind of safe and ef ective operation.During the operation,instrument nurses was not only to closely cooperate,but also to strengthen the management of sterile table,Instrument nurse must be familiar with operation steps and the characteristics of the spine instrument,work in close with the surgery.It could be shorten the operation time,reduce bleeding,control infections and reduce complications.So the sufficient preparations of the preparation and the cooperation during operation were ef ective guarantee of the success and reducing complication.