论文部分内容阅读
目的 :探讨借助腹腔镜行腰椎结核病灶清除术的临床价值。方法 :气管插管全麻下 ,取腹部切口 3cm ,借助腹腔镜、显微内镜手术器械在屏幕监视器下完成 6例腰椎结核并腰大肌脓肿的病灶清除术。结果 :手术均获成功 ,术中平均出血 <10 0ml,时间 180min ,术后症状体征消退 ,影像学评价病灶清除彻底 ,近期随访疗效满意。结论 :该术式具有切口小、创伤小、出血少等优点 ,它克服了传统手术损伤大 ,病灶清除盲目不彻底和腹腔镜下不能彻底松解粘连的双重缺点 ,是一种安全、有效、微创的手术方法 ,具有深入研究和临床应用的前景。
Objective: To explore the clinical value of laparoscopic lumbar tuberculosis debridement. Methods: Under general anesthesia with endotracheal intubation, 3 cm abdomen incision was taken, and 6 cases of lumbar tuberculosis and psoas muscle abscess were removed under the screen monitor with laparoscope and microendoscopic operation instruments. Results: All the operations were successful. The mean intraoperative bleeding was less than 10 ml and the time was 180 minutes. The symptoms and signs of the patients subsided after operation. Radiographic evaluation of the lesions was complete and the follow-up results were satisfactory. Conclusion: This procedure has the advantages of small incision, less trauma and less bleeding. It overcomes the double shortcomings of traditional surgical injury, incomplete blind removal and laparoscopic incomplete release of adhesions. It is a safe, effective, Minimally invasive surgical methods, with in-depth research and clinical application of the future.