摘要
目的探讨X线影像监测在颈段硬膜外穿刺置管术中的应用价值。方法颈椎间盘突出症患者60例，随机分为影像监测穿刺组（A组）和传统经验盲穿组（B组），每组30例。A组在影像监测下定点，然后行硬膜外穿刺置管；B组采用传统凭经验盲探穿刺置管。观察两组穿刺准备时间、穿刺时间及次数、成功率、不良情况等指标，并进行比较。结果与B组比较，A组穿刺成功率（100％vs90％）较高，置管时间较短[（8±7）vs（16±10）min]，穿刺次数减少[（2．1±0．9）vs（4．3±0．6）次]，不良情况发生率较低（10．0％vs36．7％），差异均有统计学意义（P〈0．05）。结论X线影像监测可提高颈段硬膜外穿刺置管成功率，减少穿刺次数和时间，减少不良情况。
Objective To evaluate the value of X-ray monitoring in the cervical epidural space puncture and catheterization. Methods Sixty patients with cervical intervertehral disc herniation were randomly divided into two groups, the image monitoring puncture group （group A） and the blind puncture group by traditional experience （group B） , thirty cases in each group. Patients in group A were punctured and catheterized in the cervical epidural space under the X-ray monitoring; while patients in group B were performed by blind puncture of traditional experience. The puncture time, times, and adverse events were observed in the two groups. Results Compared with group B, the puncture success ratio was significantly increased （100% vs 90% ） ;the time of puncture were shortened [ （8 ± 7）vs（ 16 ± 10）mini ;the puncture times were reduced [ （2.1 ± 0.9） vs （4.3 ± 0.6）times] ;the ratio of adverse events was decreased （10.0% vs 36.7% ）（P 〈 0.05）. Conclusion The puncture of cervical epidural space under X-ray monitoring can improve the success ratio, reduce the times and time of puncture, and lower the adverse events .
出处
《实用疼痛学杂志》
2016年第4期274-279,共6页
Pain Clinic Journal
基金
江苏省江阴市科技三项费用社会发展项目（201319）
关键词
监测
影像
颈椎骨
硬膜外腔
穿刺术
Monitoring, image
Cervical vertebrae
Epidural space
Punctures
