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目的:在普通的X线机器上分析胶原酶介入治疗腰椎间盘突出影像标志性特点,提高介入治疗的成功率及减少并发症。方法:回顾性对491例胶原酶介入治疗腰椎间盘突出的影像资料进行分析。结果:腰椎小关节、椎弓根影像是介入治疗中重要的穿刺标志,硬膜外造影剂分布不均,呈不规则斑片状、线状分布影像是穿刺成功后安全、可靠的标志。结论:使用普通的X线机器,只要熟悉和合理应用腰椎小关节、椎弓根、硬膜外造影剂分布特点影像可提高介入治疗的成功率及减少并发症。
OBJECTIVE: To analyze the landmark features of collagenase interventional treatment of lumbar disc herniation on a common X-ray machine, to improve the success rate of interventional therapy and reduce the complications. Methods: Retrospective analysis of 491 cases of collagenase interventional treatment of lumbar disc herniation image data were analyzed. Results: The lumbar facet joint and pedicle pedicle were the important puncture marks in interventional treatment. The distribution of epidural contrast agent was irregular and irregular patchy. The linear distribution was a safe and reliable sign after successful puncture. Conclusion: With the common X-ray machine, as long as the familiar and reasonable application of the lumbar facet joint, pedicle, epidural contrast agent distribution characteristics of the image can improve the success rate of intervention and reduce complications.