CT定位脊柱微创手术

CT-guided minimally invasive surgeries for the spine

摘要:

脊柱微创手术已成为重要的脊柱疾病治疗手段，其基础步骤是在影像引导下的穿刺定位技术，影像引导设备影响着穿刺定位的安全性和准确性，从而影响着治疗效果。CT 定位技术是借助 CT 机架的角度调整和能清晰辨别各种组织的优势，根据手术目的和部位确定断层操作平面，可按照“最安全、最简单”的原则精准设计、量化手术入路；通过适时的 CT 监测，将定位针精准无误穿刺到设计的位置。CT 定位技术已成功应用于经皮内镜椎间盘切除、椎体成形、骨折内固定，以及穿刺活检、靶向治疗等。本科已成功施行 CT 定位各种脊柱微创手术近万例，举办培训班 30 余期，共培训国内外学员 600 余名；曾先后帮助省内外 100 余家医院开展 CT 定位技术。

Abstract:

Minimally invasive spinal surgery has become an important treatment for spinal diseases with the basic step of image-guid- ed puncture. The Image-guided equipment impacts the safety and accuracy of puncture position, thus affecting the treatment outcomes. The computed tomography (CT) guided technique takes the advantages of angle adjustment of CT frame and clear identification of various tis- sues. According to the purpose and location of surgery, the operation plane is determined, and then the surgical approach is precisely de- signed and quantified according to the principle of "the safest and simplest". The locating pin is punctured to the designed position accu- rately with simultaneous CT monitoring. CT guided technique has been successfully applied in percutaneous endoscopic discectomy, verte- broplasty, fracture internal fixation, percutaneous puncture biopsy, targeted therapy, and so on. Our department has successfully performed various CT-guided spinal minimally invasive surgeries nearly 10 000 cases, held more than 30 training sessions, involving a total of 600 do- mestic and foreign trainees, and has helped more than 100 hospitals inside and outside the province to carry out CT guided technique.