摘要
目的:研究经单侧肋椎关节穿刺行椎体成形的影像学特点,探讨在影像学监测下经肋椎关节穿刺的安全操作范围。方法:12具成人防腐完整( T5~T12)脊柱标本,测量椎体矢状面、水平面标准位像前1/3中心点与肋椎关节上缘夹角。结果:下胸椎行椎体成形术,经肋椎关节穿刺时,T5~T12上倾角为19°~24°,外倾角先减小后逐渐增大,为27°~36°之间,T5最大,T9最小;外倾角的安全范围为22°~49°,左右两侧对比无显著差异,男女对比无显著差异。结论:行椎体成形术时,中下胸椎经单侧肋椎关节进针是安全可行的。
Objective:To research by unilateral rib vertebral joint puncture of imaging features vertebroplasty,discuss in radiological monitoring by Sternocostal joint puncture safe operating range.Methods:12 adult preservative complete ( T5-T12 ) spinal specimens, Measuring vertebral sagittal, standard bit like one-third of the former center of the horizontal angle between the joint Sternocostal .Re-sults:Under the thoracic vertebroplasty, when rib vertebral joints by puncture,T5-T12 inclination on for 19 °-24 °, camber increases after the first decrease, Between 27 °-36 °, T5 maximum, T9 minimum;The camber angle of the safe range 22 °-49 °, left and right sides was no significant difference in comparison, contrast was no significant difference between men and women.Conclusion:When ver-tebroplasty, lower thoracic vertebral joints by unilateral rib needle might be safe and feasible.
出处
《中国伤残医学》
2015年第8期7-10,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
椎体成形术
椎体
角度
微创
Vertebroplasty
Vertebrae
Angle
Minimally Invasive