在新鲜尸体的脊柱外围和内区域的压力变化,在全内镜腰椎手术期间,连续灌
Metehan Ozturk1, Ilyas Dolas2, Ali Guven Yorukoglu3
1Department of Neurosurgery, Corlu State Hospital, Tekirdag, Turkey. ozturkmete@hotmail.com.tr.
Journal of orthopaedic surgery and research
|July 8, 2025
概括
在全内镜腰椎间盘切除术 (FELD) 期间的连续灌显著增加了内和外周压力. 仔细选择内镜系统和灌设置对于减轻这些风险至关重要.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 最少侵入性手术的方法
背景情况:
- 完全内镜腰椎切除术 (FELD) 与传统的微切除术相比,具有优势.
- 并发症与FELD期间的内压力 (ICP) 波动有关.
- 了解压力动态对于患者安全至关重要.
研究的目的:
- 为了评估FELD期间的内和外周压力变化.
- 在连续灌下,评估不同脊柱水平的压力变化.
- 为了比较不同灌模式和内镜系统之间的压力反应.
主要方法:
- 八个新鲜的尸体被用于压力测量.
- 内压力 (ICP) 和外周压力是在腰部,胸部,宫和内水平上测量.
- 使用 RIWOspine 和 Joimax 系统在不同灌压力下 (Arthro 120/195 mmHg,脊柱 50 mmHg) 记录了测量结果.
主要成果:
- 更高的灌压力 (Arthro 195 mmHg) 和某些内镜 (Joimax) 与压力增加相关.
- 头骨压力立即上升,而胸部和宫压力逐渐增加.
- 发现了显著的压力差异,特别是在腰部区域 (平均35.69 mmHg).
结论:
- 在FELD的连续灌显著影响外周和内压力.
- 内镜系统的选择和灌模式极大地影响了压力变化.
- 适当的管理策略至关重要,以防止FELD相关的并发症.
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