中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2015年
31期
4955-4959
,共5页
植入物%脊柱植入物%三维影像脊柱导航%脊柱%椎弓根螺钉%效果%并发症
植入物%脊柱植入物%三維影像脊柱導航%脊柱%椎弓根螺釘%效果%併髮癥
식입물%척주식입물%삼유영상척주도항%척주%추궁근라정%효과%병발증
Spine%Bone Nails%Imaging,Three-Dimensional%Postoperative Complications
背景：椎弓根螺钉置入是一种常见的修复各种脊柱疾病的方法，但在螺钉置入的安全性和准确性方面存在较大的难度。目的：探讨脊柱椎弓根螺钉置入实施三维影像引导的效果。方法：回顾性分析漯河市中医院2010年12月至2013年12月收治的118例行椎弓根螺钉置入患者的临床资料，均实施椎弓根螺钉置入内固定治疗，按照引导方式分为两组，每组59例。观察组给予三维影像脊柱导航，对照组给予常规 X 射线透视。观察两组患者的螺钉置入情况和修复相关指标，置入后随访1-12个月，对两组患者的置入后并发症发生情况进行比较。结果与结论：观察组59例患者一共置入螺钉325枚，对照组319枚，观察组经评估为优良的有319枚，优良率为95%；对照组经评估为优良的有250枚，优良率为78%，两组差异有显著性意义(P<0.05)。在螺钉置入所需时间方面，观察组显著短于对照组(P <0.05)。在手术时间以及术中出血量方面，观察组两项指标均显著优于对照组(P <0.05)。在螺钉置入后并发症发生率方面，观察组显著低于对照组(P <0.05)。即表明在三维影像脊柱导航的影像引导下实施脊柱椎弓根螺钉置入内固定，可以有效缩短螺钉置入所需的时间，提高置入的准确性等，并减少各种并发症的出现。
揹景：椎弓根螺釘置入是一種常見的脩複各種脊柱疾病的方法，但在螺釘置入的安全性和準確性方麵存在較大的難度。目的：探討脊柱椎弓根螺釘置入實施三維影像引導的效果。方法：迴顧性分析漯河市中醫院2010年12月至2013年12月收治的118例行椎弓根螺釘置入患者的臨床資料，均實施椎弓根螺釘置入內固定治療，按照引導方式分為兩組，每組59例。觀察組給予三維影像脊柱導航，對照組給予常規 X 射線透視。觀察兩組患者的螺釘置入情況和脩複相關指標，置入後隨訪1-12箇月，對兩組患者的置入後併髮癥髮生情況進行比較。結果與結論：觀察組59例患者一共置入螺釘325枚，對照組319枚，觀察組經評估為優良的有319枚，優良率為95%；對照組經評估為優良的有250枚，優良率為78%，兩組差異有顯著性意義(P<0.05)。在螺釘置入所需時間方麵，觀察組顯著短于對照組(P <0.05)。在手術時間以及術中齣血量方麵，觀察組兩項指標均顯著優于對照組(P <0.05)。在螺釘置入後併髮癥髮生率方麵，觀察組顯著低于對照組(P <0.05)。即錶明在三維影像脊柱導航的影像引導下實施脊柱椎弓根螺釘置入內固定，可以有效縮短螺釘置入所需的時間，提高置入的準確性等，併減少各種併髮癥的齣現。
배경：추궁근라정치입시일충상견적수복각충척주질병적방법，단재라정치입적안전성화준학성방면존재교대적난도。목적：탐토척주추궁근라정치입실시삼유영상인도적효과。방법：회고성분석탑하시중의원2010년12월지2013년12월수치적118례행추궁근라정치입환자적림상자료，균실시추궁근라정치입내고정치료，안조인도방식분위량조，매조59례。관찰조급여삼유영상척주도항，대조조급여상규 X 사선투시。관찰량조환자적라정치입정황화수복상관지표，치입후수방1-12개월，대량조환자적치입후병발증발생정황진행비교。결과여결론：관찰조59례환자일공치입라정325매，대조조319매，관찰조경평고위우량적유319매，우량솔위95%；대조조경평고위우량적유250매，우량솔위78%，량조차이유현저성의의(P<0.05)。재라정치입소수시간방면，관찰조현저단우대조조(P <0.05)。재수술시간이급술중출혈량방면，관찰조량항지표균현저우우대조조(P <0.05)。재라정치입후병발증발생솔방면，관찰조현저저우대조조(P <0.05)。즉표명재삼유영상척주도항적영상인도하실시척주추궁근라정치입내고정，가이유효축단라정치입소수적시간，제고치입적준학성등，병감소각충병발증적출현。
BACKGROUND:Pedicle screw implantation is a common method to repair various spinal diseases, but there is a big difficulty in the safety and accuracy of screw placement. OBJECTIVE: To explore the effects of spinal pedicle screw implantation in the implementation of image guidance. METHODS:A retrospective analysis was performed on clinical data of 118 cases of pedicle screw implantation in the Luohe Hospital of Traditional Chinese Medicine from December 2010 to December 2013. They received internal fixation with pedicle screws. They were equaly divided into two groups according to guidance method. Observation group underwent three-dimensional imaging of spinal navigation. Control group received conventional X-ray fluoroscopy. Screw placement and repair-related indexes were observed in the two groups. After implantation, they were folowed up for 1-12 months. Postoperative complications were compared in both groups. RESULTS AND CONCLUSION: 59 patients in the observation group were implanted with 325 screws, and 59 patients in the control group were implanted with 319 screws. In the observation group, the excelent and good rate was 95% (319 screws). In the control group, the excelent and good rate was 78% (250 screws). There were significant differences in the excelent and good rate between the two groups (P < 0.05). The time required in screw placement was significantly shorter in the observation group than that in the control group (P < 0.05). Operation time and the intraoperative bleeding were significantly better in the observation group than in the control group (P < 0.05). The incidence rate of postoperative complications was lower in the observation group than in the control group (P < 0.05). These data suggest that under the guidance of three-dimensional imaging of spinal navigation, spine pedicle screw fixation can effectively shorten the time required for screw placement, improve the accuracy of implantation, and reduce the occurrence of postoperative complications.
