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ID:32225985
大小:722.78 KB
页数:36页
时间:2019-02-01
《经皮椎体成形术中穿刺针角度与骨水泥分布关系的临床研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、TheclinicalresearchoftherelationshipbetweenthepunctureneedleangleandthedistributionofbonecementSpecialty:OrthopaedicsofTCMAuthor:YangZhanhuaTutor:Prof.ZhangJianxinAbstractObjective:1.Theclinicalresearchoftherelationshipbetweenthepunctureneedleanglean
2、dthedistributionofbonecement.2.ToprovideguidanceforpunctureoperationinPVPintraoperativeofthoracolumbarvertebral.Methods:1.115thoracolumbarvertebral(T11~L2)withcompressionfracturepatientswereselected,whoweretreatedwiththoracolumbarprecut-aneousvertebr
3、oplasty,inwhich105vertebralsof97patientswerereachesthevertebralaxisBeforethemid1/3(target)bypunctureneedleinintraoperative.Andreceivetheintraoperativemeasurementdata(includingthedistancebetweenthepuncturepointandthebodymidlineandthelengthofthepunctur
4、eneedleinthehumanbody)andtheCTscansofeachvertebralbodyinpostoperative.2.Withthehelpofcomputersoftware,measureandcalculatetheproportionofbonecementinvertebralinpostoperative,accordingtothelengthmeasuredinintraoperative,conversttoanglesbetweenthePunctu
5、reneedleandbodysagittalplane.3.Analysiswhetherthereexistrelevancecorrelationbetweenpunctureneedleangleandbonecement,byapplicatingstatisticalanalysissoftware.Result:1.Thepunctureanglesofpunctureneedlearefrom20degreesto30degrees,inwhich18casesofvertebr
6、albodyin20degreesto22degrees,19casesofvertebralbodyin22.1degreesto24degrees,27casesofvertebralbodyin24.1degreesto26degrees,25casesofvertebralbodyin26.1degreesto28degrees,16casesofvertebralbodyin28.1degreesto30degrees.2.Thereisstatisticaldifferencebet
7、weenthepunctureanglesfromdifferentsequenceofthoracolumbarvertebralsinPVPintraoperative.3.Thepunctureanglesfromdifferentsequenceofthoracolumbarvertebralsandbonecementdistributionisnegativelyrelatedto.Thesmallerthepunctureanglesis,thebetterthedistribut
8、ionofbonecementis.Conclusion:1.Taketranspedicularpuncturecanachievebetterbonecementdistribution,whentakethepercutaneousvertebroplastyofthethoracolumbarvertebralbodywithcompressionfracture.2.InthePVPintraoperative,therelationshipbetweenthepunctureangl
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