CAJ | 학술논문

目的:探讨DSA引导经颈椎间孔穿刺注射胶原酶治疗颈椎间盘突出症的疗效、安全性及护理.方法:对26例颈椎间盘突出症患者在DSA定位后用5~7号穿刺针自颈部侧方穿刺,通过相应椎间孔上部达硬膜外侧前间隙,注入胶原酶溶液1200 U,并给予围手术期的护理,随访观察疗效.结果:26例均成功,随访6个月~1年,优良率92.3%,无一例并发症发生.结论:DSA引导下经椎间孔穿刺注射胶原酶治疗颈椎间盘突出症安全有效快速经济,围手术期护理是取得手术成功的重要措施.
목적:탐토DSA인도경경추간공천자주사효원매치료경추간반돌출증적료효、안전성급호리.방법:대26례경추간반돌출증환자재DSA정위후용5~7호천자침자경부측방천자,통과상응추간공상부체경막외측전간극,주입효원매용액1200 U,병급여위수술기적호리,수방관찰료효.결과:26례균성공,수방6개월~1년,우량솔92.3%,무일례병발증발생.결론:DSA인도하경추간공천자주사효원매치료경추간반돌출증안전유효쾌속경제,위수술기호리시취득수술성공적중요조시.
Objective:To explore the DSA guide hole puncture between cervical collagenase injection treatment of cervical intervertebral disc herniation safety,curative effect and nursing. Method:26 cases of cervical intervertebral disc herniation in patients with DSA after positioning with 5~7 needle from the neck lateral puncture,through the corresponding intervertebral foramen of hard film before the upper lateral clearance,injection collagenase solution 1200 units,follow-up observation curative effect.Result:26 cases were successful,were followed up for 6 months to 1 year,was 92.3%,no case of complications.Conclusion:DSA under the guidance of the intervertebral foramen puncture injection collagen enzyme treatment of cervical intervertebral disc herniation is safe and effective rapid economic,perioperative nursing is important to the success of surgery made measures.