About skateboarding internal fixation of pedicle screw reduction surgery with decompression laminectomy（减少对滑板的椎弓根螺钉内固定手术减压椎板切除术）

Aboutskateboardinginternalfixationofpediclescrewreductionsurgerywithdecompressionlaminectomy（减少对滑板的椎弓根螺钉内固定手术减压椎板切除术）Aboutskateboardinginternalfixationofpediclescrewreductionsurgerywithdecompressionlaminectomy[Abstract]summarized48casesofpressurereductionsurgeryskateboardpediclescrewinternalfixationsurgerywithlaminectomybytheexperience,includingpreoperativevisitstothemechanism,psychologicalcare,surgerywiththemasterdevice’suseandpurpose,strictaseptictechniques,the48casesofsuccessfulsurgicalprocedure,operationissuccessful,nocomplicationssurgerywithtacitguaranteethesuccessofsurgery.[Keywords]pediclescrew-rodfixationPediclescrew-rodhasbeencarriedoutinourhospital3years,from2008toApril2011on48casesofvertebralfracturesinpatientswhounderwentsurgeryachievedgoodresults,butalsoachievedgoodsocialeffects,withthemainpointsofsurgerynowreportasfollows:ClinicaldataFebruary2008toApril2011,theCourtconductedatotalof48casesofspinalfracturepatients,male:32,female:16patients,averageagewere45yearsof1age,operativetime120~180minutes,bloodlossofabout200~300ml,nocomplications.2preoperativepreparation2.1preoperativevisit:understandingthepatient’ssituation,thebiochemicaltestresults,heartandlungfunction,communicationandunderstandingwiththesurgerythesurgeonmayencounterdifficulties,aswellasthesurgicaltechniquewerethespecialrequirements:suchasequipmentpreparation.2.2psychologicalcareofpatients:patientswithpreoperativepsychologicalcareisessential,thepatientendurance,willbeartheeconomiccostsofsuchfear,fearanxiety,preoperativevisittopatientstoeaseanxietyplayanimportantrolewiththefamiliesofpatientswiththeactiveexchangeofvoicetotalktothepatientsdescribedthefeasibilityandnecessityofsurgery,andintroducethesamekindofsurgicaloperationwassuccessfulmedicaleliminationoffear,establishconfidenceinovercomingthedisease.worktobedonecarefully,patiently,tothebestheartsurgery.22.3readytoconventionalequipment,thespine-specificinstruments,thedaybeforesurgery,patientsneedtopreparetheequipmentpackagesandspecialequipmentandstrictsterilization.Preoperativepreparation:theoperatingroomthedaybeforeathoroughcleaning,afulloperatingroomdisinfection,temperatureandoperatingroomtoensureappropriate,checkthepowerandsuction,CBfluoroscopymachineperformanceisintact,toavoidintraoperativesurgicalandpatientbarriersaffectCheck.3IntraoperativeNote3.1Generalpreparation:Becausepreoperativeneedtolocate,alongtime,probablyalargeamountofbleeding,preoperativebloodisnormal,theestablishmentoftwovenousaccess,shouldbeselectedtoavoidthepressure,blood-rich,flexible,easyfixedbloodvessels.3.2positionplacedinthesurgeonplacedunderthejointpositiontohelpmaintainbalanceinthebracketinthepositionoftheMinistryofkneepadspillows,highly3appropriateinordertoavoidfracture,ligamentinjuryandpartsofpressuresores.3.3Strictasepticsurgicalfoilpastedaroundtheanus,limitingthenumberofvisitors,thesurgeonwithdoublegloves,strictaseptictechnique,surgicaltowelsfoundinthewetandtimelycoverageofdrysterilesurgicaltowels,nailbarusingcontactlesstechnologytransfer.3.4IntraoperativeCareTour:closeobservationofheartrate,bloodpressure,oxygensaturationandchangesinintakeandoutput,regularobservationofelevatedpartsofthebone,preventingtheformationofpressuresores.3.5Aftertransfer,theendofsurgerytohelpdoctorsbandagedthewound,inthetransport,handlingtheattentionofheadandneckpatientswithwaisttokeepstraight.4SummaryThroughthisgroupofpatientssurgicalcareweunderstandthecarefulpreoperative4preparationwithtightintraoperative,strictlysothreeinvestigations,eightpairs,forsomeonetotourandhands,toprovidetimelyandaccuratesurgeryrequiredtoensuresmoothoperation.Turnaffixedtothefreedownload5