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侧卧位与俯卧位经皮穿刺腰椎间盘切割术的对比分析
引用本文:吴良浩,陈新龙,陈光华,裘裕福.侧卧位与俯卧位经皮穿刺腰椎间盘切割术的对比分析[J].实用放射学杂志,1995(10).
作者姓名:吴良浩  陈新龙  陈光华  裘裕福
作者单位:浙江省绍兴第二医院
摘    要:本组65例,30例采用侧卧位侧后方穿刺椎间盘,35例采用俯卧位穿刺椎间盘,前者的总有效率为86.6%,后者为85.7%,两者无明显差异。侧卧位穿刺的解剖途径距重要神经的距离比俯卧位穿刺近,刺伤神经的机会亦较多,侧卧位法,穿刺椎间隙的后1/3,是抽吸的理想部位。俯卧位法,针尖指向椎间盘的前方,吸出物可能较少。

关 键 词:腰椎,椎间盘突出,经皮穿刺法

Analysis of Percutaneous Lumbar Diskectomy in Lateral Position and Prone Position
Wu Lianghao Chen Xinlong Chen Guanghua et al.Analysis of Percutaneous Lumbar Diskectomy in Lateral Position and Prone Position[J].Journal of Practical Radiology,1995(10).
Authors:Wu Lianghao Chen Xinlong Chen Guanghua
Affiliation:Wu Lianghao Chen Xinlong Chen Guanghua et al
Abstract:This article reported 65 cases of hermiated lumbar disk treated by percutaneous lumbardiskectomy,30 cases were treated in lateral position,the effective rate was 86.6%;another 35 cases weretreated in prone position,the effective rate 85.7%,there was no obvious difference between them,In lateralposition,the distance between the chennel punctured and nearby nerves was nearer than that in prone posi-tion,and the posibility of injuring nerves was more. In lateral position,one third at the back of the vertebraldisk was a nice puncturing point.In prone position the needle face to sloping front of the vertebral disk,sothat aspiration of nucleus was little.
Keywords:Lumbar Prolapse of intervertebral disc Percutaneous puncture  
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