局部麻醉行PELD时颈痛与颈椎硬膜外压力变化的相关性研究
发布时间：2018-12-17 22:54
【摘要】：目的探讨局麻下椎板间入路行经皮内窥镜下腰椎髓核摘除术(PELD)术中颈痛与颈椎硬膜外压力(EP)变化的关系。方法收集该院骨科2013~2015年28例因腰椎间盘突出症行经椎板间入路PELD的患者,术前于C5~C6节段安置颈椎硬膜外导管并连接压力传感器,整个手术过程持续监测颈椎EP。结果 28例患者中有6例发生了颈痛,术中颈痛患者开始诉颈痛时的颈椎EP值(51.5±10.0)mm Hg和最大颈椎EP值(67.8±12.4)mm Hg都明显高于未发生颈痛患者的最大颈椎EP值(29.6±12.6)mm Hg,差异有统计学意义(P0.05)。颈椎EP值越高的患者发生颈痛的概率越高(P0.05)。结论椎板间入路行PELD时颈痛的发生与颈椎EP增高有关。
[Abstract]:Objective to investigate the relationship between cervical pain and epidural pressure (EP) during (PELD) under local anesthesia through interlaminar approach. Methods from 2013 to 2015, 28 patients with lumbar disc herniation underwent interlaminar approach PELD. Cervical epidural catheter and pressure sensor were placed in C5~C6 segment before operation. Cervical EP. was continuously monitored during the whole operation. Results of the 28 patients, 6 had neck pain. The cervical EP value (51.5 卤10.0) mm Hg) and the maximum cervical spine EP value (67.8 卤12.4) mm Hg) were significantly higher in the patients with cervical pain than in the patients without cervical pain (29.6 卤12.6) mm Hg,). The difference was statistically significant (P0.05). The higher the cervical EP value, the higher the incidence of cervical pain (P0.05). Conclusion Cervical pain is related to the increase of cervical EP during interlaminar approach PELD.
【作者单位】： 重庆医科大学附属第二医院骨科;
【基金】：重庆市医学科研计划项目(2011-1-053)
【分类号】：R614.3
，
本文编号：2384910
[Abstract]:Objective to investigate the relationship between cervical pain and epidural pressure (EP) during (PELD) under local anesthesia through interlaminar approach. Methods from 2013 to 2015, 28 patients with lumbar disc herniation underwent interlaminar approach PELD. Cervical epidural catheter and pressure sensor were placed in C5~C6 segment before operation. Cervical EP. was continuously monitored during the whole operation. Results of the 28 patients, 6 had neck pain. The cervical EP value (51.5 卤10.0) mm Hg) and the maximum cervical spine EP value (67.8 卤12.4) mm Hg) were significantly higher in the patients with cervical pain than in the patients without cervical pain (29.6 卤12.6) mm Hg,). The difference was statistically significant (P0.05). The higher the cervical EP value, the higher the incidence of cervical pain (P0.05). Conclusion Cervical pain is related to the increase of cervical EP during interlaminar approach PELD.
【作者单位】： 重庆医科大学附属第二医院骨科;
【基金】：重庆市医学科研计划项目(2011-1-053)
【分类号】：R614.3
，
本文编号：2384910
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