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漏斗技术在胸椎椎弓根螺钉置入中的临床应用
引用本文:汤呈宣,杨国敬,戴鸣海,谢秉局,张力成,刘良乐. 漏斗技术在胸椎椎弓根螺钉置入中的临床应用[J]. 中国骨伤, 2010, 23(12): 911-914. DOI: 10.3969/j.issn.1003-0034.2010.12.009
作者姓名:汤呈宣  杨国敬  戴鸣海  谢秉局  张力成  刘良乐
作者单位:温州医学院附属第三医院骨科,浙江,温州,325200
摘    要:目的:探讨采用"漏斗技术"置入胸椎椎弓根螺钉的准确性和安全性。方法:回顾性分析了2005年8月至2008年3月至少有1枚螺钉置于T1-T10之间的39例患者的临床资料。其中,男27例,女14例,年龄17~56岁,平均38.5岁;1例失访,1例在随访前因非相关性原因死亡。根据术后薄层CT扫描评估置钉的安全性和准确性以及各种并发症。结果:39例均获随访,时间18~30个月,平均23.2个月,未见血管、神经和内脏损伤等并发症。共置入胸椎椎弓根螺钉208枚,置钉准确性T1-T4低于T5-T8(P=0.80),T5-T8低于T9-T10(P=0.07),T1-T4低于T9-T10(P=0.06)。27枚螺钉(13.0%)发生错置,其中,14枚(6.7%)穿破椎弓根外侧皮质,7枚(3.4%)穿破内侧皮质,5枚(2.4%)穿破椎弓根上壁,1枚(0.5%)穿出椎体侧方,未见椎弓根下壁和前壁穿破,4枚螺钉(1.9%)为危险性穿破。结论:漏斗技术是一种简单、安全、准确和经济的椎弓根螺钉置入方法,通过该技术使年轻医师迅速安全、准确置入胸椎弓根螺钉成为可能。

关 键 词:胸椎   内固定器   外科手术   骨折   肿瘤
收稿时间:2010-04-20

Clinical application of "funnel technique" in planting thoracic pedicle screws
TANG Cheng-xuan,YANG Guo-jing,DAI Ming-hai,XIE Bing-ju,ZHANG Li-cheng and LIU Liang-le. Clinical application of "funnel technique" in planting thoracic pedicle screws[J]. China journal of orthopaedics and traumatology, 2010, 23(12): 911-914. DOI: 10.3969/j.issn.1003-0034.2010.12.009
Authors:TANG Cheng-xuan  YANG Guo-jing  DAI Ming-hai  XIE Bing-ju  ZHANG Li-cheng  LIU Liang-le
Affiliation:Department of Orthopaedics and Spine Surgery, the Third Affiliated Hospital of Wenzhou Medical College, Wenzhou 325200, Zhejiang, China;Department of Orthopaedics and Spine Surgery, the Third Affiliated Hospital of Wenzhou Medical College, Wenzhou 325200, Zhejiang, China;Department of Orthopaedics and Spine Surgery, the Third Affiliated Hospital of Wenzhou Medical College, Wenzhou 325200, Zhejiang, China;Department of Orthopaedics and Spine Surgery, the Third Affiliated Hospital of Wenzhou Medical College, Wenzhou 325200, Zhejiang, China;Department of Orthopaedics and Spine Surgery, the Third Affiliated Hospital of Wenzhou Medical College, Wenzhou 325200, Zhejiang, China;Department of Orthopaedics and Spine Surgery, the Third Affiliated Hospital of Wenzhou Medical College, Wenzhou 325200, Zhejiang, China
Abstract:
Keywords:Thoracic vertebrae   Internal fixators   Surgical procedures, operative   Fractures   Neoplasms
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