CAJ | 학술논문

目的评价成人髂嵴连线与脊柱相交处定位L3,4棘突间隙或L4棘突的准确性.方法择期行脊柱手术患者184例,年龄24 ～ 82岁,体重50～ 80 kg,取屈髋屈膝左侧卧位,标记髂嵴连线与脊柱相交处,在C型臂机下确认标记处所在脊柱的位置.C型臂机下标记处位于L3,4棘突间隙或L4棘突为定位准确,记录定位不准确的发生情况.结果髂嵴连线位于L2,3棘突间隙至L5棘突水平,男性较女性向头侧移位(P＜0.05),定位不准确率18％.结论成人髂嵴连线与脊柱相交处作为确定L3,4棘突间隙或L4棘突的定位标志,不能确保所选位置的准确性,需要慎重.
목적 평개성인가척련선여척주상교처정위L3,4극돌간극혹L4극돌적준학성.방법 택기행척주수술환자184례,년령24 ～ 82세,체중50～ 80 kg,취굴관굴슬좌측와위,표기가척련선여척주상교처,재C형비궤하학인표기처소재척주적위치.C형비궤하표기처위우L3,4극돌간극혹L4극돌위정위준학,기록정위불준학적발생정황.결과 가척련선위우L2,3극돌간극지L5극돌수평,남성교녀성향두측이위(P＜0.05),정위불준학솔18％.결론 성인가척련선여척주상교처작위학정L3,4극돌간극혹L4극돌적정위표지,불능학보소선위치적준학성,수요신중.
Objective To determine how often the line joining both iliac crests intersects the spine at L3,4 interspace or L4 spinous process.Methods One hundred and eighty-four patients aged 24-82 yr weighing 50-80 kg scheduled for spine surgery were placed in left lateral position with their hips and knees flexed.A line joining both iliac crests was drown.A metal marker was placed at the point where the intercristal line intersects the spine and detected by mobile X-ray system.The intersection was considered accurately located when the marker lay on L3,4 interspace or L4 spinous process.The rate of inaccuracy was calculated.Results The intercristal line lay between L2,3 interspace and L5 spinous process and lay more cephalad in male than in female.The inaccuracy rate was 18％.Conclusion The location of intersection of intercristal line and spine should be checked cautiously before lumbar puncture.