中国骨伤2025，Vol.38Issue(11)：1139-1144,6.DOI:10.12200/j.issn.1003-0034.20240862
可设定角度线性激光辅助仪在椎体穿刺中的应用
Clinical application of angle-settable linear laser auxiliary instrument in vertebral puncture
摘要
Abstract
Objective To compare the effects of bilateral vertebral puncture guided by an angle-adjustable linear laser auxiliary device versus free-hand bilateral vertebral puncture.Methods A retrospective analysis was conducted on the clinical data of 47 patients who underwent thoracolumbar percutaneous kyphoplasty(PKP)from July 2022 to July 2023.All patients received bilateral percutaneous kyphoplasty,among whom 27 cases underwent conventional free-hand puncture(conventional puncture group)and 20 cases underwent puncture guided by a laser auxiliary device(auxiliary puncture group).In the con-ventional puncture group,there were 11 males and 16 females,with an average age of(69.6±5.1)years and a disease duration of(6.5±3.8)days;the fractured vertebrae were T11-T12 in 13 cases and L1-L2 in 14 cases.In the auxiliary puncture group,there were 7 males and 13 females,with an average age of(70.8±5.6)years and a disease duration of(6.4±3.8)days;the fractured vertebrae were T11-T12 in 7 cases and L1-L2 in 13 cases.The operation time,total blood loss,intraoperative fluoroscopy times,fluoroscopy duration,radiation dose,puncture success rate,and surgical complications were compared between the two groups.The visual analogue scale(VAS)was used to evaluate low back pain before surgery,2 days after surgery,and 1 year after surgery.Results All patients achieved successful puncture,with good postoperative wound healing and no complications.The operation time of the auxiliary puncture group was(12.1±2.6)minutes,which was shorter than that of the conventional punc-ture group(14.1±2.8)minutes.The total blood loss of the auxiliary puncture group was(228.5±35.8)ml,less than that of the conventional puncture group(257.0±48.3)ml.The fluoroscopy times,fluoroscopy duration,and radiation dose of the auxiliary puncture group were(5.4±1.3)times,(15.9±3.3)seconds,and(159.4±37.4)μSv,respectively,all lower than those of the conventional puncture group(6.4±1.6)times,(18.8±4.6)seconds,(192.2±48.5)μSv,with statistically significant differences(P＜0.05).There were no statistically significant differences in low back VAS scores between the two groups before surgery,2 days after surgery,or 1 year after surgery(P＞0.05).Conclusion Both laser auxiliary device-guided vertebral puncture and free-hand vertebral puncture have high success rates and similar postoperative curative effects.However,the laser auxiliary device-guided puncture has shorter operation time,less blood loss,and lower radiation hazard.关键词
激光辅助/椎体穿刺/辐射危害Key words
Laser-assisted/Vertebral body puncture/Radiation hazard分类
医药卫生引用本文复制引用
阮立奇,王玲,胡劲涛,曲丕盛..可设定角度线性激光辅助仪在椎体穿刺中的应用[J].中国骨伤,2025,38(11):1139-1144,6.基金项目
杭州市生物医药和健康产业发展扶持科技专项(编号:2023WJC184) （编号:2023WJC184）
杭州市生物医药和健康产业发展扶持科技专项(编号:2021WJCY204)Hangzhou Biomedicine and Health Industry Development Support Science and Technology Program(No.2023WJC184) （编号:2021WJCY204）
