新型脊柱术前节段定位系统在胸腰椎疾病中的应用

Using neo-spinal surgery-preliminary positioning system for thoracolumbar diseases

目的利用新型脊柱术前定位系统治疗胸腰椎疾病,观察其临床应用效果。方法自2014年1月至8月我院骨科使用该系统诊治胸腰椎疾病患者共28例,同时期不使用该装置进行手术55例,从平均手术时间、平均暴露每椎节的皮肤切口长度、平均术中应用动态X线机的次数、术中出现的定位错误等方面进行统计分析。结果使用该系统组28例患者未出现定位错误等情况,在手术时间、减小切口长度、减少承受放射剂量等方面均优于对照组,且该系统操作简单。结论使用脊柱术前椎体定位系统在术中能准确定位脊柱节段,可以向临床推广。

Objective To use neo-spinal surgery-preliminary positioning system for the treatment of thora-columbar diseases, and to determine its clinical effects. Methods A total of 28 patients with thoracolumbar diseases underwent the neo-spinal surgery-preliminary positioning system between January 2014 and August 2014 in the De-partment of Orthopaedics of our hospital. A contemporary cohort of 55 cases did not use the system. The mean opera-tion time, mean length of skin incision of the exposed vertebral section, mean frequency of using the dynamic X-ray machine during the operation, and intraoperative positioning errors were statistically analyzed. Results No position-ing errors were found in 28 patients using neo-spinal surgery-preliminary positioning system. The operation time, de-creased incision length, and decreased radiation dose in the neo-spinal surgery-preliminary positioning system group were better than those in the control group. The operation of the neo-spinal surgery-preliminary positioning system is simple. Conclusion Using spinal surgery-preliminary positioning system can accurately position spinal segment, which justifies widespread use in clinical practice.