Nursing Cooperation for Resection of Patients with Spinal Canal Tumor under Microscope

  • Liqun Li
Keywords: Intraspinal Tumors, Surgical Microscope, Microscope Surgery, Surgical Care

Abstract

This article discusses the analysis of the micro-surgical operation period of patients with spinal canal resection
under surgical microscope the main points of nursing, to explore the clinical efficacy and surgical techniques of
percutaneous cannula paravertebral approach for the microtherapy of lumbar spinal canal tumors. Through the
anatomy of the spine area, the anatomical level and exposure range of the tumor in the spinal canal were
determined by the posterior median approach. Summarize surgical skills and experience on clinical efficacy and
impact on spinal stability. It is of great significance to the nursing research of resection of patients with spinal
canal tumor under the microscope in China. In this paper, 79 adult upper body specimens were taken to observe
the anatomical level, spinal canal and adjacent structure of the mid-posterior approach through the spine,
measure the vertebral plate data of each vertebral body, grasp the anatomical characteristics of the spinal region,
and provide a scientific basis for clinical surgical approach. The clinical data of 89 patients with spinal canal
tumors under the operating microscope and 38 patients with total laminectomy approach to remove the spinal
canal tumors were collected and collated. The gender, age, location of onset, tumor type, and time of onset of
the two groups of patients were analyzed. The operation time, intraoperative blood loss, time to get out of bed,
hospital stay, and surgical resection rate were compared between the two groups. The McCorick clinical grading
standard was used to compare the patients' recovery and postoperative complications. All cases were followed
up after operation to evaluate the patient's spinal stability in the later period. All data are statistically analyzed
using spss statistical analysis software. The experimental results showed that 1 case (2.5%) and 6 cases (15.0%)
of cerebrospinal fluid leakage occurred in the postoperative complications in the induction group and the
non-inclusion group, respectively. Statistically, the P value is equal to 0.27, less than 0.5, with statistical
differences, indicating that the stability of the reconstructed spine is conducive to reducing the concurrency of
cerebrospinal fluid leakage.

Published
2020-04-01