Vertebroplasty

1. Ua ntej kev phais, nws yog ib qho tsim nyog yuav tsum txhim kho DR zaj duab xis, CT hauv zos, sib nqus resonance imaging, thiab nqa cov duab thaij duab rau hauv chav ua haujlwm.

2. Ua ntej kev phais, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam tag nrho txoj hauj lwm ntawm lub luag hauj lwm vertebral lub cev thiab nrhiav nws siv cov nyob ib sab deformed vertebral lub cev, lub siab tshaj plaws taw tes ntawm lub iliac crest, thiab kaum ob tav.

3. Yog tias lub tshuab C-arm hauv chav ua haujlwm tsis tuaj yeem ua kom pom tseeb ntawm lub cev vertebral, nws yuav tsum tau txiav txim siab mus rau chav DR rau kev phais yam tsis muaj kev cuam tshuam.

4. Tshawb xyuas lub kaum sab xis, qhov tob, thiab qhov nrug ntawm qhov nruab nrab ntawm qhov sib tsoo los ntawm CT ua ntej kev phais.

5. Thaum thawb pob txha cement, nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo saib xyuas cov khoom. Yog tias muaj cov dej xau, nws yuav tsum tau nres raws sijhawm. Kev nyab xeeb yog qhov tseem ceeb tshaj plaws. Tus nqi ntawm cov pob txha cement thawb yuav tsum tau txiav txim siab, thiab tsis tas yuav yuam kom cov khoom zoo. Ib qho me me ntawm pob txha cement kuj tuaj yeem muaj txiaj ntsig zoo.

6. Thaum pom cov txiaj ntsig tsis zoo thaum lub sijhawm phais, tsis txhob ua ob sab sib tsoo. Nws kuj yog qhov zoo rau kev ua ntawm ib sab, kev nyab xeeb ua ntej.

7. Cov dej ntws tawm hauv lub pedicle (kab koob) muaj feem xyuam rau cov txheej txheem iatrogenic, uas tshwm sim thaum cov pob txha cement tsis tau txhaj rau hauv lub cev vertebral los ntawm lub laub pas nrig. Nws muaj feem xyuam rau qhov tsis ua hauj lwm tig los yog hloov lub npliag laub pas nrig ua ntej cov pob txha cement solidifies.

8. Lub kaum sab xis tuaj yeem ncav cuag 15 degrees. Thaum tus neeg mob yws ntawm qhov qis qis qis thaum lub sij hawm puncture, lub koob txhaj tshuaj tuaj yeem nkag mus rau hauv tus txha caj qaum los yog txhawb nqa cov paj hlwb los ntawm sab ntug ntawm lub pedicle, yog li lub kaum sab xis yuav tsum tau kho.

9. Thaum punncturing lub pedicle ntawm lub vertebral arch, muaj ib qho kev xav ntawm emptiness, uas yuav nkag mus rau tus txha caj qaum. Nws yog ib qho tsim nyog los kho lub kaum sab xis ntawm lub tshuab C-arm.

10. Tsis txhob ntxhov siab lossis chim siab thaum phais, thiab ua txhua kauj ruam kom zoo.

11. Thaum tshem cov koob, tos kom cov pob txha cement kom khov me ntsis, vim nws yooj yim tshem cov pob txha cement ntxov dhau lawm thiab tso rau ntawm rab koob; Nws yog ib qho nyuaj rau tshem tawm rab koob lig, feem ntau nyob ib ncig ntawm 3 feeb tom qab txhaj tshuaj tiav. Thaum tshem rab koob, rab koob tseem ceeb yuav tsum tau muab ntsia kom zoo kom tsis txhob tso cov pob txha seem nyob rau hauv qhov koob. Lub koob yuav tsum maj mam muab tshem tawm siv txoj kev tig.

12. Yog tias tus neeg mob noj cov tshuaj tiv thaiv coagulants xws li warfarin, aspirin, thiab hydroclopidogrel uas tsis tshua muaj platelet suav, yuav tsum tau saib xyuas tshwj xeeb thaum lub sijhawm phais, vim tias qhov tsis zoo yuav ua rau intraspinal hematoma.