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血压值对双门脊椎外科手术的影响
Abdullah Merter1, Mehmet Can Gezer2, Menekşe Özçelik3
1Ankara University Faculty of Medicine, Orthopedics and Traumatology Department, Ankara, Turkey.
World neurosurgery
|August 22, 2025
概括
在单侧双门内镜 (UBE) 减压手术期间保持最佳血压是清晰的手术可视化的关键. 保持静脉压低于106mmHg可以确保良好的图像质量并降低手术风险.
科学领域:
- 神经外科
- 最少的入侵性手术
- 手术可视化
背景情况:
- 单侧双门内镜 (UBE) 解压手术可降低风险和缩短手术时间.
- 在手术期间可视化对于手术成功和患者安全至关重要.
- 在UBE手术中血压与可视化质量的关系需要进一步研究.
研究的目的:
- 调查UBE减压期间手术内血压与外科现场可视化之间的相关性.
- 在UBE手术中确定最佳血压参数以实现清晰的可视化.
主要方法:
- 外科医生独立评估UBE输入期间的手术内可视化,拉米内切除术和内切除术在1-4级.
- 在每一个手术阶段,血压 (SBP,DBP,MAP) 均以三次间隔记录.
- 在血压读数和可视化等级之间进行了相关性分析.
主要成果:
- 确定了每个手术阶段 (进入,拉米切除,切除) 的具体静脉血压 (静脉血压) 和平均动脉血压 (MAP) 切除值.
- 对于UBE输入,SBP切线为106. 34 mmHg,DBP为67. 5 mmHg,MAP为83. 33 mmHg.
- 为了在整个过程中保持足够的可视化,建立了最佳血压范围.
结论:
- 在UBE手术中,手术内图像清晰度与患者的血压直接相关.
- 建议将静脉压保持在106mmHg以下,以实现最佳可视化,而不会影响患者的安全.
- 这些发现可以指导麻醉管理,以提高UBE手术的结果.
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