多层螺旋CT(128)后处理技术在腰椎间盘穿刺定位中的研究

Research on multi-slice spiral CT(128)post-processing technique in lumbar disc puncture positioning

目的探究多层螺旋CT(128)后处理技术在腰椎间盘穿刺定位中应用效果。方法:回顾性分析2020年2月~2021年2月石家庄市第八医院收治的156例腰椎间盘突出症患者的临床资料,均给予腰椎间盘射频热凝消融治疗,根据穿刺定位方式不同分为观察组(多层螺旋CT后处理技术穿刺定位,n=126)和对照组(参照既往经验穿刺,n=30),比较两组患者手术情况、临床疗效、术后不同时间点疼痛程度、突出物体积和长度、并发症发生情况。结果:观察组手术时间、穿刺次数、穿刺时间、术中透视次数均明显低于对照组(P<0.05);术后1个月时,两组临床疗效比较差异无统计学意义(P>0.05);术后3d、1、3、6个月,两组VAS评分均明显低于术前(P<0.05),术前、术后3d、1、3、6个月两组之间比较差异无统计学意义(P>0.05);术后6个月,两组突出物体积和长度均明显低于术前(P<0.05);两组并发症发生情况比较差异无统计学意义(P>0.05)。结论:多层螺旋CT后处理技术在腰椎间盘穿刺定位中应用效果良好,能够缩短手术时间和穿刺时间,降低穿刺次数,提升穿刺定位准确性。

Objective:To explore the application effects of multi-slice spiral CT(128-slice Spiral CT)post-processing technique on lumbar disc puncture positioning.Methods:The clinical data of 156 patients with lumbar disc herniation treated in the Eighth Hospital of Shijiazhuang between February 2020 and February 2021 were retrospectively analyzed.All patients were treated with radiofrequency thermocoagulation ablation of lumbar disc.According to different puncture positioning methods,the patients were divided into observation group(puncture positioning by multi-slice spiral CT post-processing technique,n=126)and control group(puncture positioning by referring to previous experience.n=30).The surgical status,clinical efficacy,pain degree at different time points after surgery,protrusion volume and length and occurrence of complications were statistically analyzed.Results:The surgical time,frequency of puncture,puncture time and frequency of intraoperative fluoroscopy in observation group were significantly shorter or lower than those in control group(P<0.05).At 1 month after surgery,there was no statistical significance in clinical efficacy between the two groups(P>0.05).At 3 d,1 month,3 months and 6 months after surgery,the VAS scores in the two groups were significantly lower than those before surgery(P<0.05).and there was no statistical difference between the two groups before surgery and at 3 d after surgery.1 month.3 months and 6 months after surgery(P>0.05).The protrusion volume and length at 6 months after surgery in the two groups were significantly smaller or shorter than those before surgery(P<0.05).There were no statistically significant differences in the occurrence of complications between the two groups(P>0.05).Conclusion;Multi-slice spiral CT post-processing technique has good application effects,and can shorten the surgical time and puncture time,reduce the frequency of puncture and improve the accuracy of puncture positioning.