Department of Orthopedics, Dongyang Garden Tian's Hospital, Dongyang, Jinhua, 322100 Zhejiang, China.
Comput Math Methods Med. 2022 Jun 2;2022:3232670. doi: 10.1155/2022/3232670. eCollection 2022.
This study was aimed at investigating the effect of an optimized image processing algorithm in ultrasound images and the influence of resection of lumbar disc nucleus pulposus in spinal surgery under the guidance of ultrasound images on the neurological safety of patients. A total of 60 patients with lumbar disc herniation were selected and divided randomly into the control group and observation group. Patients from the control group were treated with resection of lumbar disc nucleus pulposus by an X-ray-guided foraminal microscope, and patients from the observation group underwent the ultrasound image-guided surgeries with an optimized image processing algorithm. Then, the treatment of patients from the two groups was compared. The results showed that the radiotherapy time in the control group was 120 ± 6.3 min and the radiotherapy dose was 129 ± 10.3 min/sec, while the radiotherapy time in the observation group was 4.5 ± 1.2 min and the radiotherapy dose was 22 ± 7.7 min/sec. The time and dose of radiotherapy in the observation group were significantly lower than those in the control group ( < 0.05). In the control group, the numbers of significant effective cases, effective cases, and ineffective cases were 8, 16, and 6, respectively, while those in the observation group were 12, 18, and 0, respectively. The comparison between the groups showed that the number of effective cases and the number of effective cases in the observation group were significantly higher than those in the control group, and the number of ineffective cases was significantly lower than that in the control group ( < 0.05). In conclusion, ultrasound-guided percutaneous foraminal lumbar discectomy could improve patients' clinical symptoms, promote clinical efficacy, and reduce postoperative pain symptoms, thereby accelerating the postoperative rehabilitation of patients. Moreover, it was extremely safe for the nerves.
本研究旨在探讨优化的图像处理算法对超声图像的影响，以及超声图像引导下脊柱手术切除腰椎间盘髓核对患者神经安全性的影响。选择 60 例腰椎间盘突出症患者，随机分为对照组和观察组。对照组患者采用 X 线引导椎间孔镜下切除腰椎间盘髓核，观察组患者采用优化图像处理算法的超声图像引导手术。然后比较两组患者的治疗效果。结果显示，对照组的放射治疗时间为 120±6.3min，放射剂量为 129±10.3min/sec，观察组的放射治疗时间为 4.5±1.2min，放射剂量为 22±7.7min/sec。观察组的放射治疗时间和剂量明显低于对照组（<0.05）。对照组显效例数、有效例数、无效例数分别为 8 例、16 例、6 例，观察组分别为 12 例、18 例、0 例。组间比较显示，观察组的有效例数和有效例数明显高于对照组，无效例数明显低于对照组（<0.05）。综上所述，超声引导经皮椎间孔腰椎间盘切除术能改善患者的临床症状，提高临床疗效，减轻术后疼痛症状，从而加速患者的术后康复，而且对神经极为安全。
