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Discography (Thoracic)
椎間盤造影(胸椎)
Overview(概述)
This procedure, also called a "discogram," helps your doctor find painful spinal discs. It can show the source of pain in your back. To see how it works, let's watch a discography done in the thoracic spine.
這個手術,又稱作「椎間盤攝影」,有助於醫生找出引起疼痛的椎間盤。這個手術可以發現背部疼痛的根源。為了理解它的作用,讓我們來看看胸椎的椎間盤造影。
Preparation(準備)
To begin, you lie down and you are given medicine to help you relax. You will still be awake. That's so you can tell your doctor what you feel during the procedure. Your mid back is numbed with local anesthetic.
首先,病人躺下,並用藥使之放鬆,但仍會保持清醒。這樣病人可以告訴醫生手術過程中的感受。用局部麻醉藥對胸背部進行麻醉。
Placing the Needles(穿針)
The doctor uses a video x-ray device called a "fluoroscope" to carefully guide a needle into the target disc. If more than one disc is being tested, a needle is placed into each one.
醫生用稱為螢光透視的X線設備小心地引導穿刺針到達目標椎間盤。如果需要測試的椎間盤不止一個,就在每個椎間盤上穿入針。
Testing the Discs(測試椎間盤)
Next, the doctor injects contrast dye into each disc, one at a time. The dye raises the pressure inside the discs. When this happens, you may feel pressure or pain. If you feel pain, that may be a sign that the disc is diseased. The doctor will take images with the fluoroscope so your discs can be studied carefully.
然後,醫生在每個椎間盤內注入對比造影劑,每次一個椎間盤。造影劑增加了椎間盤內的壓力,此時,病人會感覺壓力或疼痛。如果引起疼痛,提示這個椎間盤存在病變。醫生保存螢光透視圖像,以便更加仔細地研究椎間盤。
End of Procedure and Aftercare(手術結束和術後護理)
When the procedure is done, the needles are removed. Before you leave, your doctor may want to get a more detailed scan of your discs. Discography can cause your back to be slightly sore for a few days. Your healthcare provider will give you tips to help ease this minor pain.
手術完成後,將針拔出。在病人離開前,醫生會對椎間盤作更詳細的掃描。椎間盤造影會引起後背輕微酸痛幾天。主管醫生會給予指導幫助緩解這種輕微的疼痛。
(胡佰文 譯)
相關閱讀:
骨科手術早知道076:椎間盤造影術(Discography)
骨科手術早知道157:椎間盤造影(Discography)
中英文字幕:腰椎間盤造影(Discography,Lumbar)
中英文字幕:頸椎間盤造影(Discography, Cervical)
中英文字幕:人工腰椎間盤置換(Disc Replacement,Lumbar,Maverick™)
中英文字幕:人工腰椎間盤置換術(Disc Replacement,Lumbar,Charité™)
骨科手術早知道060:人工腰椎間盤置換術(Total Disc Replacement Back Surgery)
中英文字幕:雙極射頻椎間盤修復術(Disc Biacuplasty (TransDiscal™ System))
中英文字幕:椎間盤退變性疾病(Degenerative Disc Disease)
中英文字幕:肋椎關節注射(Costovertebral Joint Injection)
中英文字幕:脊柱壓縮性骨折(Compression Fractures of the Spine)
中英文字幕:頸椎經椎間孔硬膜外類固醇注射(Transforaminal Epidural Steroid Injection)
中英文字幕:尾骨痛(Coccydynia)
中英文字幕:選擇性頸椎神經根阻滯(Cervical Selective Nerve Root Block)
中英文字幕:神經根型頸椎病(Cervical Radiculopathy)
中英文字幕:骶管類固醇注射(Caudal Epidural Steroid Injection)
中英文字幕:頸椎後路椎間孔擴大成形術(Cervical Posterior Foraminotomy)
中英文字幕:頸椎椎板成形術(無內固定)/Cervical Laminaplasty (no hardware)
中英文字幕:頸椎椎板成形術(Cervical Laminaplasty)
中英文字幕:頸椎關節突神經射頻消融術(Cervical Facet Radiofrequency Neurotomy)
中英文字幕:頸椎硬膜外造影類固醇注射(Cervical Epidural Steroid Injection)
中英文字幕:頸椎硬膜外類固醇注射(Cervical Epidural Steroid Injection)
中英文字幕:人工頸椎間盤置換術(Artificial Cervical Disc Replacement,Prestige®)
中英文字幕:人工頸椎間盤置換術(Artificial Cervical Disc Replacement (PCM®))
中英文字幕:人工頸椎間盤置換術(Artificial Cervical Disc Replacement (Mobi-C®))
中英文字幕:前路內鏡下微創頸椎間盤切除術Anterior Endoscopic Cervical Microdiscectomy
中英文字幕:使用椎間融合器的ACDF(Anterior Cervical Discectomy and Fusion )
中英文字幕:頸前路椎間盤切除融合術(ACDF)
中英文字幕:頸前路椎體次切術(Anterior Cervical Corpectomy)
中英文字幕:頸前路椎體次全切植骨Anterior Cervical Corpectomy (Bone Graft)
中英文字幕:脊柱的解剖(Anatomy of the Spine)
中英文字幕:使用植骨和金屬接骨板的前路腰椎椎間融合術(Anterior Lumbar Interbody Fusion)
中英文字幕:前路腰椎椎間融合術(使用植塊骨和椎弓根螺釘)Anterior Lumbar Interbody Fusion
中英文字幕:前路腰椎椎間融合術(Anterior Lumbar Interbody Fusion)
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