肠道在不同外科位置的解剖位置:在倾斜的单位置手术中对侧面接入的影响
S Harrison Farber1, Robert F Rudy, James J Zhou
1Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
在脊椎手术时的倾斜或横向位置,肠道稍微向前移动,但通常保持在外科手术走廊之外. 这种位置变化很小且可变,这表明 retroperitoneal 接入的安全性.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 人体解剖学 解剖学 解剖学
- 医学成像医学成像
背景情况:
- 脊椎间体融合 (LLIF) 往往是在倾斜的位置进行的.
- 通过使用侧向和后侧脊柱方法来避免患者的重新定位.
- 有限的研究存在于这些程序期间的肠道排泄.
研究的目的:
- 评估不同患者位置的肠道位置相对于脊柱和手术走廊的变化.
- 为了评估卧卧,倾斜延伸和横向俯卧-屈曲姿势期间的解剖关系.
主要方法:
- 磁共振成像 (MRI) 用于十名健康志愿者.
- 参与者被扫描在仰卧,倾斜延伸和横向腰曲的位置.
- 分析了与L1-5脊柱标志相对的肠道位置,并将各个位置进行比较.
主要成果:
- 与仰卧相比,观察到前肠部的倾斜延伸 (0.32-1.39厘米) 和侧向下垂曲折 (0.97-2.18厘米) 的情况.
- 显著的前部运动发生在俯卧的L1-2和L2-3,侧卧的L2-3和L3-4.
- 左上结肠显示出最大的位置变化;然而,在手术走廊内的肠道位置在各个位置上仍然相似.
结论:
- 肠道的前部移动与卧式相比,处于倾斜延伸和横向俯卧式俯卧式的位置.
- 肠道位移的程度通常是小的和可变的.
- 研究结果表明,在单位倾向性手术中,肠道不会显著从尾外科走廊收缩.
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