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1
題名:精確定位於經椎莖骨釘植入導航手術之重要性     (12點)
The Importance of Meticulous Registration during Spinal Navigation for Pedicle Screw Placement
著者:蘇豐文(Feng-Wen Su) ;李道?(Tao-Chen Lee) ;呂?中(Chun-Chung Lui) ;丁于齡(Yu-Ling Ting) ;王宏振(Hung-Chen Wang) ;林宥潤(Yu-Jun Lin) ;蘇宗明(Thung-Ming Su)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:spinal navigation ; pedicle screw placement ; registration error
刊名:臺灣外科醫學會雜誌
卷期:41卷1期(2008.2)
頁碼:1-6
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

註冊誤差?手術解剖位置之電腦影像在脊椎導航手術中精確度的一個相對指標。本篇研究的目的在於探討註冊誤差對於經椎莖骨釘固定手術後骨釘植入位置之影響。 ?了研究註冊誤差與經椎莖骨釘固定手術後骨釘植入位置之相關性,我們分析了三十六位病人,共植入一百八十四支骨釘。記錄在脊椎導航手術過程中的註冊誤差數值,並以1.5公厘?間距分?二組一A組:註冊誤差低於1.5公厘:B組:註冊誤差高於1.5公厘。在術後以電腦斷層影像來評估骨釘植入位置之良作窳,並加以歸類。骨釘位於椎莖中央者評?「佳」,稍有偏離而造成穿出椎莖表層2公厘以內者歸?「尚可」,而超過2公厘以上者歸?「差」。 在A、B兩組分別植入了94及90支骨釘。在A組中,75支(79.8%)骨釘被歸類?「佳」,17支(18.1%)被歸類?「尚可」,而2支(2.1%)?「差」。在B組,57支(63.3%)骨釘被歸類?「佳」,26支(28.9%)被歸類?「尚可」,而7支(7.8%)?「差」。結果經獨立t檢定分析後發現兩組在骨釘位置結果之差別達到統計學上顯著的意義(P=0.002)。 根據本篇研究的結果,我們發現在脊椎導航手術時藉由控制註冊誤差可以改善經椎莖骨釘固定術之骨釘植入位置。
Objectives: To evaluate correlations between registration errors and accuracy of pedicle screw placement. Methods: Registration errors were analyzed as a relative index of accuracy in the computer imaging of surgical anatomy during spinal navigation. One hundred eighty-four computer-assisted pedicle screw installations were performed in thirty-six patients. Registration errors during spinal navigation were recorded and grouped into A (registration error<1.5mm) and B (registration error more than 1.5mm). The screw placements were evaluated by postoperative CT and were categorized as good (in the central core of the pedicle), fair (eccentricity of the screw and erosion of the pedicular cortex with perforation of less than 2mm), and poor (more than 2mm perforation). Results: Ninety-four and ninety screw placements were examined in groups A (registration error<1.5mm) and B (registration error more than 1.5mm), respectively. In group A, seventy-five (79.8%) pedicle screw placements were categorized as good, seventeen (18.1%) were fair, and two (2.1%) were poor. In group B, fifty-seven (63.3%) were good, twenty-six (28. 9%) were fair, and seven (7.8%) were poor. The difference in screw placement results between group A and Breached statistical signficance (P=0.002, independent samples t-test). Conclusion: Significantly more accurate pedicle screw placement can be achieved by limiting registration errors.


    

本卷期目次
臺灣外科醫學會雜誌 41卷1期 (2008.2)
The Importance of Meticulous Registration during Spinal Navigation for Pedicle Screw Placement/ Feng-Wen SuTao-Chen LeeChun-Chung LuiYu-Ling TingHung-Chen WangYu-Jun LinThung-Ming Su
精確定位於經椎莖骨釘植入導航手術之重要性/ 蘇豐文李道?呂?中丁于齡王宏振林宥潤蘇宗明
肝移植術後因單純?疹再發造成亞大片性肝壞死:病例報告/ 何承懋王竣令陳松廷吳耀銘何明志胡瑞恆許輝吉李伯皇
Reactivation of Herpes Simplex Causing Submassive Hepatic Necrosis in a Liver Recipient/ Cheng-Maw HoJuin-Ling WangSung-Ting ChenYao-Ming WuMing-Chih HoRey-Heng HuHui-Ji SuPo-Huang LEE
腸胃道外間質細胞瘤:二病例報告/ 陳怡如吳誠中葉大成鄭紹彬楊?順
Extra-gastrointestinal Stromal Tumor: Report of Two Cases/ Yi-Ju ChenCheng-Chung WuDah-Cheng YehShao-Bin ChengChii-Shuenn Yen
巨大的雙側乳房多發性葉狀肉瘤:病例報告/ 涂啟文江慶鐘蘇振賢
Bilateral Multiple Phyllodes Tumors of the Breast, "Giant" on One Side: Report of a Case/ Chi-Wen TuChing-Chung ChiangChen-Hsien Su
原發性攝護腺鱗狀上皮癌:病例報告/ 蔡秉儒余家政王志生吳東霖黃榮慶
Primary Squamous Cell Carcinoma of the Prostate: Report of a Case/ Ping-Ju TsaiChia-Cheng YuJyh-Seng WangTony T WuJong-Khing Huang
使用血小板纖維蛋白膠在兔子腰椎橫突間融合手術之效果/ 林松俊謝時鵬溫志宏杜杰憲洪慶憲唐紀絜李心白簡言軒
The Effect of Platelet Gels on Lumbar Intertransverse Process Spinal Fusion in a Rabbit Model/ Sung-Chun LinShih-Peng HsiehZhi-Hong WenChieh-Hsien TuChieng-Hsien HungChi-Chieh TangHsin-Pai LeeYen-Hsuan Jean
 
   
 
   

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