■探讨倾斜角度低剂量计算机断层扫描(CT)扫描引导技术在等离子射频治疗腰椎5骶骨1(L5-S1)椎间盘突出症的应用效果。
■本研究共纳入43例L5-S1椎间盘突出症患者,并将其分类为垂直角度引导的CT(A组,n=21)和倾角引导CT(B组,n=22)组。经皮等离子L5-S1椎间盘射频治疗。穿刺和扫描的总数,操作次数,并记录数值评定量表(NRS)疼痛评分(术前和术后3天和30天)。
■与A组相比,B组穿刺和扫描次数较少,差异有统计学意义(P=0.0001)。此外,B组CT扫描引导下的手术总时间明显短于A组(P=0.0001).此外,NRS评分在术前(T0)之间表现出统计学上的显著差异,术后3天(T1),A组30天(T2)(P<0.05)。B组T0与T1、T0与T2的NRS评分差异有统计学意义(P<0.05),B组T1和T2之间无差异(P=0.084)。在三个时间点(T0,T1,T2),两组比较差异无统计学意义(P>0.05)。
■倾斜角度低剂量CT扫描技术治疗L5-S1椎间盘突出症具有效率高的优点,低伤害,低辐射,并推荐其临床应用。
CT引导的椎间盘等离子手术在临床实践中逐渐显示出其重要性。我们发现,椎间盘在腰5/骶骨1区域的突出通常由于其解剖位置而导致难以穿刺。通过调整CT的倾斜角度,我们提高了穿刺成功率,并显着减少了患者的辐射暴露。倾斜角度低剂量CT扫描技术治疗L5-S1型椎间盘突出症具有效率高的优点,低伤害,和低辐射。它可以避免因穿刺困难而导致的手术失败,还可以减少患者暴露于辐射,加强患者在治疗过程中的保护意识。
UNASSIGNED: To investigate the application effect of tilt-angle low-dose ComputedTomography (CT) scanning guidance technology in the plasma radiofrequency treatment of lumbar 5-sacrum 1 (L5-S1) intervertebral disc herniation.
UNASSIGNED: A total of 43 patients with L5-S1 disc herniation were included in this study and categorized into vertical-angle-guided CT (Group A, n = 21) and tilt-angle-guided CT (Group B, n = 22) groups. Percutaneous plasma L5-S1 disc radiofrequency treatment was administered. The total number of punctures and scans, operation times, and Numerical Rating Scale (NRS) pain scores (preprocedure and 3 and 30 days postprocedure) were documented.
UNASSIGNED: Compared with Group A, punctures and scans were fewer in Group B, and the differences were statistically significant (P = 0.0001). Moreover, the CT scan-guided total surgery time was significantly shorter in Group B than in Group A (P = 0.0001). In addition, the NRS score exhibited a statistically significant difference among preprocedure (T0), 3 day postprocedure (T1), and 30 days (T2) in Groups A (P < 0.05). The NRS score exhibited a statistically significant difference between T0 and T1 and between T0 and T2 in Group B (P < 0.05), but not between T1 and T2 in Group B (P = 0.084). At three time points (T0, T1, T2), there was no statistically significant difference between the two groups (P > 0.05).
UNASSIGNED: The tilt-angle low-dose CT scanning technique for L5-S1 disc herniation offers the advantages of high efficiency, low damage, and low radiation, and its clinical application is recommended.
CT-guided plasma surgery for intervertebral discs has gradually shown its importance in clinical practice. We found that the protrusion of the intervertebral disc in the lumbar 5/sacral 1 region often leads to difficulty in puncture due to its anatomical position. By adjusting the tilt angle of the CT, we increase the success rate of puncture and significantly reduce the radiation exposure to patients. The tilt-angle low-dose CT scanning technique for L5-S1 disc herniation offers the advantages of high efficiency, low damage, and low radiation. It can avoid surgical failures caused by puncture difficulties and also reduce patient exposure to radiation, strengthen awareness of patient protection during treatment.