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CT导引下经皮腰椎间盘切除术
引用本文:成明富,周沛林,吴玉玲,蒋昌荣,张季明,戴宗奎,陈晓燕,王洪琴. CT导引下经皮腰椎间盘切除术[J]. 东南国防医药, 1999, 0(4)
作者姓名:成明富  周沛林  吴玉玲  蒋昌荣  张季明  戴宗奎  陈晓燕  王洪琴
作者单位:第123医院,蚌埠第三医院,第123医院,第123医院,第123医院,蚌埠第四毛纺织厂职工医院,第123医院,第123医院 蚌埠 233015,233015,蚌埠 233015,蚌埠 233015,蚌埠 233015,233015,蚌埠 233015,蚌埠 233015
摘    要:
目的 探讨CT导引下经皮腰椎间盘切除术的价值。方法 对142例(164个椎间盘)采用了此法治疗;切割前先对靶椎间盘进行薄层CT扫描,并作穿刺参数的测量,所有病例均在CT监控下进行穿刺、切割。结果 穿刺成功率100%,无1例发生并发症。显效率为65.1%,有效率为29.6%,无效率为5.3%。结论 ①CT导引下各穿刺参数真实,准确,能及时观察椎间盘被切割的范围和被还纳复位的情况;②对手术治疗后症状复发者可再用本法治疗。

关 键 词:椎间盘移位  CT导引  介入放射学

CT guided percutaneous romoval of lumbar vertebral discs
Cheng Mingfu Zhou Peilin Wu Yuling,Jiang Changrong Zhang Jiming Dai Zongkui Chen Xi-aoyan Wang Hongqin. CT guided percutaneous romoval of lumbar vertebral discs[J]. Journal of Southeast China National Defence Medical Science, 1999, 0(4)
Authors:Cheng Mingfu Zhou Peilin Wu Yuling  Jiang Changrong Zhang Jiming Dai Zongkui Chen Xi-aoyan Wang Hongqin
Abstract:
To study the value of CT guided percutaneous removal of lumbar vertebral desc. Methods The abovemethod was used in 142 cases of patients (164 discs). Thin layers scanned the target intervertebral discs before cutting and measured the parameters of puncture. All the patients were monitored with CT while performing puncturing and cutting. Results The successful rate of puncturing was 100% , no complication happened. The effective rate was 65.1% , the available rate was 29. 6%. the ineffective rate was 5. 3%. Conclusion (1)The parameters of puncturing guided with CT are true and accurate; It can observe the cutted range of intervetebral discs and the. state of reposition; just in time; (2)Shoulthe the symptoms and signs recur after surgical operation, it can be treated with this method again.
Keywords:intervertebr disc translocational   CT guided   interventional radiology
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