Volume 23 Issue 5
May  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(5): 862-866
ZHAO Jiagui, ZHANG Rongyi, HU Jun, LU Yao. Teaching experience of surface positioning technology for transforaminal endoscopic puncture guided by C-arm[J]. Chinese Journal of General Practice, 2025, 23(5): 862-866. doi: 10.16766/j.cnki.issn.1674-4152.004019
Citation: ZHAO Jiagui, ZHANG Rongyi, HU Jun, LU Yao. Teaching experience of surface positioning technology for transforaminal endoscopic puncture guided by C-arm[J]. Chinese Journal of General Practice, 2025, 23(5): 862-866. doi: 10.16766/j.cnki.issn.1674-4152.004019
shu

Teaching experience of surface positioning technology for transforaminal endoscopic puncture guided by C-arm

doi: 10.16766/j.cnki.issn.1674-4152.004019
  • 1.

    Department of Pain Medicine, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China

Funds:

 2023zhyx-C45

  • Received Date: 2024-05-20
    Available Online: 2025-08-14
    Abstract
  •   Objective  This study aims to explore the surface positioning technology of percutaneous transforaminal endoscopic lumbar discectomy under C-arm X-ray fluoroscopy in teaching, and to evaluate the effect of this technology in the teaching of transforaminal endoscopic lumbar discectomy in spinal surgery and pain department, especially the practical experience of how beginners can quickly master the positioning puncture skills.  Methods  Thirty-six patients with lumbar disc herniation who received percutaneous transforaminal endoscopic lumbar discectomy in the Department of Pain, the First Affiliated Hospital of Anhui Medical University from November to December 2024 were selected and divided into YESS technology group, THESS technology group and visualized foraminoplasty group according to the different technologies used, with 12 cases in each group. The puncture point was located by C-arm X-ray fluoroscopy, and different technologies were used for surface positioning and puncture. The number of fluoroscopy, puncture time, and teaching satisfaction of the trainees in each group were evaluated.  Results  The puncture time [(8.6±2.0) min] and the number of fluoroscopy [(6.0±1.9) times] of the group using visual foraminoplasty were significantly lower than those of the YESS group [(12.6±2.6) min and (9.6±2.1) times] and the THESS group [(13.1±5.1) min and (10.7±2.6) times, P < 0.05]. In addition, the trainees ' teaching satisfaction score for visual foraminoplasty (93.8±4.3) was significantly higher than that of the YESS group (71.1±11.0) and the THESS group (63.3±7.1, F=47.590, P < 0.001).  Conclusion  The percutaneous foraminoscopic puncture technique under the guidance of C-arm X-ray fluoroscopy has important clinical value in the treatment of lumbar disc herniation and significantly reduces the puncture time. Through the simplified puncture positioning method, beginners can master the technique in a short time, significantly reducing the number of fluoroscopy and operation time, while improving the learning satisfaction of trainees. Therefore, this method has a high promotion value, reducing the radiation exposure of patients and promoting the application of this technology in the clinical practice of spinal surgery and pain medicine.

     

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