自制简易脊柱手术床结合C型臂X线机粘贴标尺在基层医院行PKP
术中的应用

doi:10.3969/j.issn.1674-1633.2021.02.006

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摘要目的观察自制简易脊柱手术床结合C型臂X线机粘贴标尺在基层医院行经皮穿刺椎体后凸成形术（Percutaneous Kyphoplasty，PKP）中的运用效果。方法回顾性分析2017年1月至2019年7月收治的46例行PKP术治疗的胸腰椎骨质疏松性椎体压缩性骨折患者资料。其中26例在普通手术床上进行手术，运用C型臂X线机透视，为对照组|20例在自制简易脊柱手术床上手术，C型臂X线机粘贴标尺辅助定位，为观察组。记录两组手术时间，术中透视次数，一次成功穿刺率，骨水泥渗漏情况，手术前后腰背痛VAS评分。结果对照组手术时间、术中透视次数均多于观察组（P<0.05），但两组一次成功穿刺率比较差异无统计学意义（P>0.05）。对照组骨水泥渗漏发生率高于观察组（P<0.05）。术前两组腰背痛VAS评分比较差异无统计学差异（P>0.05）|术后对照组VAS评分高于观察组（P<0.05）。结论自制简易脊柱手术床结合C型臂X线机粘贴标尺能减少PKP术手术时间及术中透视次数，提高疗效，效果满意。

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	李想^a
	罗凌云^b
	曾本强^a
	秦谊^a
	常瑞^a
	胡兵^a
	宋小强^a
	陈安刚^a
	胡骅^a
	廖真宇^a

关键词 ：自制简易脊柱手术床, C型臂X线机粘贴标尺, 胸腰椎骨质疏松性椎体压缩性骨折, 经皮穿刺椎体后凸成形术

Abstract：Objective To observe the effect of self-made simple spine operation bed combined with stick ruler on C-arm X-ray machine in percutaneous kyphoplasty (PKP) operation in primary hospital. Methods Retrospectively analyzed the data of 46 patients with osteoporotic vertebral compression fractures treated with PKP from January 2017 to July 2019. Among them, 26 cases were operated on the regular operating bed, using C-arm X-ray machine fluoroscopy, as the control group. 20 cases were operated on the self-made simple spine surgery bed, and C-arm X-ray machine was pasted with a ruler to assist in the localization of intraoperative fluoroscopy, for the observation group. The time of operation, times of intraoperative fluoroscopy, rate of one-time successful puncture, leakage of bone cement, and the VAS score of low back pain before and after operation were recorded. Results The operation time and the times of intraoperative fluoroscopy in the control group were more than the observation group (P<0.05), but there was no significant difference in rate of one-time successful puncture between the two groups (P>0.05). The incidence of bone cement leakage in the control group was significantly higher than that in the observation group (P<0.05). There was no significant difference in VAS score between the two groups before operation (P>0.05), but the control group were higher than observation group after operation (P<0.05). Conclusion The self-made simple spine operation bed combined with stick ruler on C-arm X-ray machine can reduce the operation time and intraoperative fluoroscopy, it is effective.

Key words： self-made simple spine operation bed C-arm X-ray machine stick ruler osteoporotic vertebral compression fractures percutaneous kyphoplasty

收稿日期: 2020-04-22

ZTFLH:

R683.2

基金资助:四川省卫生和计划生育委员会科研课题（16PJ099）

通讯作者: 曾本强 E-mail: strongzeng1017@163.com

引用本文:

李想^a，罗凌云^b，曾本强^a，秦谊^a，常瑞^a，胡兵^a，宋小强^a，陈安刚^a，胡骅^a，廖真宇^a. 自制简易脊柱手术床结合C型臂X线机粘贴标尺在基层医院行PKP 术中的应用[J]. 中国医疗设备, 2021, 36(2): 26-29.
LI Xiang^a，LUO Lingyun^b，ZENG Benqiang^a，QIN Yi^a，CHANG Rui^a，HU Bing^a，SONG Xiaoqiang^a，CHEN Angang^a，HU Hua^a，LIAO Zhenyu^a. Application of Self-Made Simple Spine Operation Bed Combined with Stick Ruler on C-arm X-ray Machine in PKP Operation in Primary Hospital. China Medical Devices, 2021, 36(2): 26-29.

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http://cs.china-cmd.org/zgylsb/CN/10.3969/j.issn.1674-1633.2021.02.006 或 http://cs.china-cmd.org/zgylsb/CN/Y2021/V36/I2/26