Txoj Kev Dural

(1) Transsacral puncture method: tus neeg mob tau muab tso rau hauv nws txoj hauj lwm thiab daim tawv nqaij raug tshuaj tua kab mob niaj hnub. Tom qab tshuaj loog hauv zos, 16- ntsuas koob tshuaj epidural tau siv los Pierce lub sacrococcygeal ligament ntawm 45 degree Lub kaum sab xis mus rau lub cev, thiab tom qab ntawd maj mam nkag mus rau lub kwj dej sacral ntawm 25 degree Angle. Raws li qhov chaw subarachnoid xaus ntawm lub dav hlau ntawm lub thib ob sacral vertebra, lub koob txhaj tshuaj yuav tsum tsis txhob tshaj lub dav hlau no kom paub meej tias nws yuav tsis nkag mus rau hauv qhov chaw subarachnoid. Lub koob tseem ceeb tau rub tawm los soj ntsuam seb cov kua cerebrospinal puas tau nchuav. Lub epidural anesthesia catheter tau muab tso rau hauv qhov chaw lumbosacral epidural, thiab tom qab ntawd cov koob txhaj tshuaj tau muab tshem tawm. Ua ntej qhov sib piv nruab nrab txhaj tshuaj, 80 ~ 120ml ntawm 0.5 feem pua ​​​​procaine tuaj yeem raug txhaj tshuaj txhawm rau saib xyuas qhov muaj tus txha caj qaum kom tsis txhob nkag mus rau qhov raug mob. Cov xov xwm sib txawv yuav tsum tsis txhob txhaj tshuaj kom txog thaum tsis muaj kev raug mob dural. (2) Lumbar puncture retrodural angiography: tus neeg mob tau muab tso rau hauv lateral decubitus txoj hauj lwm, nrog rau sab hauv qab thiab lub taub hau nce me ntsis. Txoj kev Puncture tau ua los ntawm lumbar 3, lumbar 4 qhov chaw nrog tshuaj loog epidural. Tom qab paub tseeb tias rab koob yog nyob rau hauv qhov chaw epidural, qhov sib piv nruab nrab tau maj mam txhaj, thiab rab koob raug tshem tawm thiab siv xov tooj cua. (3) Translumbar puncture predural angiography: Tus neeg mob tau muab tso rau hauv lateral decubitus txoj hauj lwm, thiab ib tug 22-gauge puncture koob tau muab tso rau ntawm tus txha nraub qaum ntawm lumbar 4 thiab lumbar 5. Thaum lub taub ntawm rab koob tawg los ntawm posterior arachnoid. phab ntsa rau hauv qhov chaw subarachnoid, muaj cerebrospinal kua tawm, thiab rab koob txuas ntxiv mus rau pem hauv ntej. Thaum lub taub nkag mus rau hauv qhov chaw predural, tsis muaj cerebrospinal kua dej tawm. X-ray zaj duab xis tau raug coj mus xyuas kom paub meej tias lub hau ntawm rab koob yog nyob rau tom qab ntug ntawm lub cev vertebral, thiab 2ml ntawm 0.5 feem pua ​​​​procaine tau txhaj. Yog tias tsis muaj kev tiv thaiv, 2ml ntawm qhov sib piv nruab nrab tuaj yeem txhaj. Tom qab X-ray zaj duab xis raug coj mus rau kom paub meej tias tsis muaj qhov sib txawv nruab nrab nchuav rau hauv qhov chaw subarachnoid, 4ml ntawm qhov sib txawv nruab nrab tau txhaj thiab rab koob raug rho tawm. Epidural angiography tuaj yeem qhia qhov loj ntawm tus txha caj qaum, disc herniation sab nraum lub hnab dural. Nws muaj qhov tseeb siab hauv kev kuaj mob ntawm lumbar disc herniation, tab sis vim muaj cov rog, cov ntaub so ntswg xoob thiab cov venous plexus nyob rau hauv qhov chaw epidural ntawm tus txha caj qaum, nws cuam tshuam rau cov duab ntawm tus txha caj qaum contour duab. Kev sib xyaw ntawm anteroposition thiab lateral tsom xam yog tsim nyog thaum nyeem ntawv.

Yog tias koj muaj lus nug, thov hu rau peb. Peb lub tuam txhab tuaj yeem tsim ntau yam koob txhaj tshuaj, koob tshuaj kho mob, koob txhaj tshuaj, koob tshuaj hypodermic, koob txhaj tshuaj, koob tshuaj tiv thaiv kab mob, koob txhaj tshuaj, koob txhaj tshuaj, koob txhaj tshuaj, koob xaum koob, koob ovum khaws koob, koob txhaj tshuaj, thiab lwm yam Yog tias koj xav tau kev kho koob cov khoom, thov hu rau peb. Peb tos ntsoov rau koj qhov kev nug! Qhov zoo ntawm cov khoom tsim nyob rau hauv peb lub Hoobkas yuav txaus siab rau koj!

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