基于八髎穴定位联合C臂引导探讨对骶神经穿刺效率的影响*

To explore the effect of Baliao point localization combined with C-arm guidance on the efficiency of sacral nerve puncture

摘要:

目的：评价基于八髎穴定位联合C臂引导探讨对骶神经穿刺效率的影响。方法：选取2023年1月至2023年10月中日友好医院疼痛科拟行骶神经射频的病人62例,按随机数字表分为对照组(n = 31)和联合组(n = 31),对照组采用传统C臂引导下穿刺,联合组基于八髎穴定位联合C臂引导穿刺。分别记录两组骶1神经(S1)、骶2神经(S2)、骶3神经(S3)及骶4神经(S4)穿刺时间、C臂透视次数,并采用个人辐射剂量测试仪评估病人所受电离辐射量。结果：62例病人均成功完成手术,联合组穿刺时间、透视次数及病人所接受的电离辐射量均低于对照组 (P < 0.01)。结论：基于八髎穴定位联合C臂引导可缩短骶神经穿刺的时间,减少透视次数,提高手术效率,并能降低病人所受的辐射量。

Abstract:

Objective: To evaluate the effect of Baliao point localization combined with C-arm guidance on the efficiency of sacral nerve puncture. Methods: From January 2021 to October 2023, 62 patients undergoing sacral nerve radiofrequency were enrolled from the pain department of China-Japan Friendship Hospital. They were divided into Control group (n = 31) or Combination group (n = 31) according to the random number table. The control group was treated with traditional C-arm guided puncture, while the combined group was treated with C-arm guided puncture based on Baliao acupoint positioning. The puncture time and C-arm fluoroscopy times of sacral 1 nerve ( S1 ), sacral 2 nerve ( S2 ), sacral 3 nerve ( S3 ) and sacral 4 nerve ( S4 ) were recorded respectively, and the amount of ionizing radiation received by patients was evaluated by personal radiation dose tester. Results: All the 62 patients successfully completed the operation. The puncture time, fluoroscopy times and the amount of ionizing radiation received by the patients in the combined group were lower than those in the control group (P < 0.05). Conclusion: The positioning based on Baliao point combined with C-arm guidance can shorten the time of sacral nerve puncture, reduce the number of fluoroscopy, improve the efficiency of surgery, and reduce the amount of radiation received by patients.