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在胸椎和腰椎手术中没有呼吸暂停的O臂导航:前性研究中的结果和考虑

Shailesh Hadgaonkar¹, Divya Tomer², Bharati Adhye³

¹Head-Spine & Neuroscience Unit, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.

Journal of clinical orthopaedics and trauma

|October 23, 2024

概括

术内O臂成像用于脚螺杆插入,即使在高风险患者中,也可以在没有呼吸暂停的情况下安全地进行. 这种技术避免了与喘息相关的潜在并发症,证明了与传统方法相比的准确性.

科学领域:

脊柱外科手术脊柱外科手术
医学成像医学成像
整形外科整形外科整形外科

背景情况:

内科手术3D导航辅助脚螺丝插入通常需要呼吸暂停,以获得可靠的O臂成像.
呼吸暂停对生理上受损的患者 (例如,慢性肺炎,肥胖,心脏问题,贫血) 构成风险,由于短暂的安全呼吸暂停时间,可能导致危及生命的并发症.
这项研究解决了对这些患者更安全的成像技术的需求.

研究的目的:

用O臂导航而不诱导呼吸暂停来评估胸脊和腰脊脚螺丝插入的准确性和安全性.
为了确定在O臂成像期间省略呼吸暂停是否可以预防风险患者群体的潜在并发症.

主要方法:

一个单一中心前性研究,涉及238名患者,他们接受了由O-臂成像指导的脚脚螺丝植入,没有呼吸暂停.
使用Gertzbein分类来评估脚损伤率.
两位高级脊椎外科医生独立评估了手术内图像的运动器件,并将其分为"显著"或"非显著".

主要成果:

在238名未使用呼吸暂停的患者 (1120个螺丝) 中,没有发生与螺丝相关的并发症.
在一个患有背脊形的儿科病例中,发生了2级脚损伤 (3个螺丝),需要进行手术内修复.
关于运动工件的观察者间一致性很好 (κ = 0.565,p < 0.001).

结论:

使用O臂成像进行无呼吸的脚螺丝插入是胸脊和腰椎手术中无呼吸辅助成像的安全可靠替代方案.
这种方法可以减轻与呼吸暂停相关的生理风险.
需要进一步的研究,以评估在部和上胸脊椎的疗效和安全性,因为潜在的敏感性轻微的运动文物.

关键词:

呼吸暂停 (Apnoea) 是一个导航导航导航导航导航啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊啊脚螺丝螺丝脚螺丝脊柱外科手术脊柱外科手术

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