| 体表脊柱侧位节段定位板的研制及临床应用 |
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Received:March 13, 2022
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| 作者 | Author | 单位 | Unit | E-Mail |
| 方丹丹 |
FANG Dan-dan |
浙江省慈溪市第七人民医院, 浙江 宁波 315315 |
Cixi Seventh People's Hospital, Ningbo 315315, Zhejiang, China |
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| 陈立军 |
CHEN Li-jun |
慈林医院骨科, 浙江 宁波 315315 |
Department of Orthopaedics, Chinaco Healthcare Corporation Limited International Hospital, Ningbo 315315, Zhejiang, China |
478578603@qq.com |
| 黄军民 |
HUANG Jun-min |
慈林医院骨科, 浙江 宁波 315315 |
Department of Orthopaedics, Chinaco Healthcare Corporation Limited International Hospital, Ningbo 315315, Zhejiang, China |
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| 期刊信息：《中国骨伤》2024年37卷，第4期，第358-362页 |
| DOI：10.12200/j.issn.1003-0034.20221039 |
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目的: 研制体表脊柱侧位节段定位板,探讨其在胸腰椎节段定位的临床应用效果。
方法: 自2018 年3 月 至2021年3 月老年患者因胸腰椎压缩性骨折行经皮椎体球囊扩张后凸成形手术共768 例,男356例,女412例;年龄64~92(77.9±13.5)岁。均伤后1 周内来院治疗。所有患者进行术前定位,按照定位方法不同分为定位板组和定位器组。定位板组390 例,男180例,女210例,年龄64~92(78.4±14.3)岁。定位器组378例,男176例,女202例,年龄64~90(77.5±13.4)岁。用上述两种方法初步定位后做好皮肤标记,常规消毒铺巾,在标记点及近尾端垂直身体刺入细针头后透视脊柱侧位,评价原定位方法的准确率,对两组定位透视次数、定位时间和定位准确性。
结果: 定位板组和定位器组透视次数分别为(3.3±0.5) 次和(5.0±1.2)次,定位时间分别为(60.4±9.4) s和(105.0±30.9) s,透视准确率分别为97.5 %(380/390)和85.6 %(324/378),差异有统计学意义(P<0.05)。
结论: 体表脊柱侧位节段定位板具有操作简便、定位准确,患者接受X 线辐射次数少的优点。 |
| [关键词]:胸腰椎 经皮椎体球囊扩张后凸成形术 术前定位 椎体 |
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| Development and clinical application of lateral segmental positioning plates of the body surface spine |
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Abstract:
Objective To investigate the clinical efficacy of body-surface guide plates for lateral segmental positioning in the thoracolumbar spine.
Methods From March 2018 to March 2021,768 gerontal patientss underwent percutaneous vertebroplasty with balloon dilatation due to thoracolumbar compression fracturess,356 males and 412 females. aged from 64 to 92 years old with an average of (77.9±13.5) years old. All patients were treated in hospital within 1 week after injury. All patients underwent preoperative localization,and were divided into localization plate group and locator group according to different localization methods. There were 390 patients in the localization plate group,180 males and 210 females,aged from 64 to 92 years old,with an average age of (78.4±14.3) years old. There were 378 patients in the locator group,176 males and 202 females,aged from 64 to 90 years old,with an average age of (77.5±13.4) years old. After preliminary positioning with the above two methods,skin markers were made,cloth was routinely disinfected,and the spinal lateral position was fluoroscopically examined after the fine needle was inserted into the marked point and the vertical body at the near tail end. The accuracy of the original positioning method was evaluated. The number of times,time and accuracy of positioning of the two groups of patients were compared and analyzed.
Results The specific data of patient positioning in the two groups were collected for statistical analysis. The number of times of fluoroscopy in the positioning plate group and the locator group was(3.3±0.5) times and (5.0±1.2) times,and the positioning time was (60.4±9.4) s and (105.0±30.9) s,respectively. The accuracy of fluoroscopy was 97.5 % (380/390) and 85.7 % (324/378),respectively,with statistical significance (P<0.05).
Conclusion The lateral segmental positioning plate of the body surface spine has the advantages of simple operation,accurate positioning,and reducing X-ray radiation for patients,which is worthy of clinical application. |
| KEYWORDS:Thoracolumbar spine Percutaneous vertebral balloon dilation kyphoplasty Preoperative positioning Vertebral body |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 方丹丹,陈立军,黄军民.体表脊柱侧位节段定位板的研制及临床应用[J].中国骨伤,2024,37(4):358~362 |
| 英文格式: | FANG Dan-dan,CHEN Li-jun,HUANG Jun-min.Development and clinical application of lateral segmental positioning plates of the body surface spine[J].zhongguo gu shang / China J Orthop Trauma ,2024,37(4):358~362 |
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