Puncture effect of the intervertebral foramen under the guidance of imaging equipment / 中国内镜杂志

ABSTRACT

Objective To explore the effect of intervertebral foramen puncture under image equipment guidance. Methods 52 patients with lumbar disc herniation from January 2014 to January 2017 were enrolled in this study. All the patients underwent lumbar posterior lateral approach for endoscopic surgery. Patients were divided into control group and observation group by random number table method, 26 patients in each group. The patients in the observation group were treated with ultrasound volume, and the patients in the control group were treated with C arm X-ray machine. The intraoperative condition, preoperative and postoperative visual analogue scale (VAS score), Oswestry dysfunction index (ODI score) and postoperative complications were compared between the two groups. Results The operation time, the total time of puncture and the number of fluoroscopy were lower in the observation group than that in the control group. The patients in the observation group and the control group were treated before operation, 1 month after operation, 3 months after operation, 6 months after operation and there was no statistically significant difference in VAS score and ODI score between 12 months (P > 0.05). The patients in the observation group and the control group had no significant complication after operation. Although they had pain symptoms, they could be relieved by themselves or by drug treatment. Conclusion Ultrasonic volume navigation can enhance the accuracy of puncture and reduce the puncture time, and there is no significant complication after operation. The safety is better than that of C arm X-ray machine.