液体灌控制的关键因素:对双门脊椎手术中关节镜和单门镜的比较研究
Takeshi Kaneko1, Ryoji Tominaga2, Hiroki Iwai2
1Spine Surgery, Inanami Spine and Joint Hospital, Tokyo, JPN.
Cureus
|December 2, 2024
概括
使用单口镜的辅助全内镜脊柱手术 (AFESS) 与基于关节镜的双口内镜解压缩 (A-BED) 相比,显著减少了灌液的使用量和手术时间. 在这两种手术技术之间,患者满意度和临床结果仍然相似.
科学领域:
- 最少侵入性的脊柱手术
- 手术技术创新 手术技术创新
- 脊柱减压技术 脊柱减压技术
背景情况:
- 传统的双门内镜解压通常使用关节镜.
- 单端口内镜系统提供集成的流体管理功能.
- 优化灌液的使用对于内镜脊柱手术的效率和资源管理至关重要.
研究的目的:
- 为了比较基于关节镜的双门内镜解压缩 (A-BED) 和辅助全内镜脊柱手术 (AFESS) 之间的患者满意度和灌液消耗.
- 评估手术技术对手术时间和资源利用的影响.
- 评估A-BED与AFESS的临床结果和安全概况.
主要方法:
- 对89名接受A-BED (n=52) 或AFESS (n=37) 的患者进行了回顾性研究.
- 灌液的使用量量为每次手术1小时2升盐水瓶.
- 术后疼痛通过数值评分表 (NRS) 进行评估;患者满意度在两周后进行评估.
主要成果:
- 与A-BED.相比,AFESS的灌液使用量显著降低 (p < 0.001) 和运行时间更短 (84.8分 vs 99.3分,p < 0.01).
- 两周后患者的满意度在各组之间是相似的 (p < 0.71).
- 没有观察到并发症率或重复手术的显著差异;患者的特征没有影响液体使用.
结论:
- AFESS采用单口镜,通过减少灌流体需求,提高了手术效率.
- 这种技术有可能减少医疗资源的消耗,而不会影响患者的满意度或临床结果.
- AFESS为A-BED提供了一个可行的替代方案,提高了内镜脊柱减压的效率.
相关概念视频
Higher Mental Functions of the Brain: Language
Language is a system of communication that allows the expression of thoughts, ideas, and feelings. The brain processes language in both hemispheres.
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...
Cerebral Hemispheres
The human brain, a complex organ, is functionally divided into two cerebral hemispheres—left and right. These hemispheres are interconnected by a structure of paramount importance, the corpus callosum. This substantial bundle of neural fibers is not just a bridge between the hemispheres but a crucial element for the brain's comprehensive functioning. It enables efficient communication between the two hemispheres, allowing each side of the brain to control and receive sensory and motor...
Lateralization
Brain lateralization refers to the division of mental processes and functions between the two hemispheres of the brain, a phenomenon that optimizes neural efficiency and underpins complex abilities in humans. This specialization allows each hemisphere to perform tasks where it has a comparative advantage, facilitating more refined cognitive capabilities across different domains.
Language and Cognition
Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
Learning Disabilities
Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
Dyslexia
Dyslexia is a...
Dyslexia
Dyslexia is a...


