Cov yam ntxwv ntawm cov khoom
1. Lub duav tuaj yeem txav tau. Tus neeg teb xov tooj yuav tsum tuav tus neeg mob lub taub hau nrog ib sab tes thiab tuav lub pob ceg ntawm ob txhais ceg qis kom nruj nrog lwm sab tes kom ua rau tus txha nqaj qaum kyphotic thiab nthuav qhov chaw vertebral ntau li ntau tau kom ua tiav qhov puncture. 2. Cov qauv ntawm cov nqaij lumbar yog qhov tseeb thiab cov cim ntawm lub cev yog qhov pom tseeb: muaj tag nrho 1 ~ 5 lumbar vertebrae (vertebral body, vertebral arch plate, spinous process), sacrum, sacral hiatus, sacral Angle, superior spinous ligament, interspinous ligament, yellow ligament, dura mater thiab omentum, nrog rau subomentum, epidural space thiab sacral canal tsim los ntawm cov nqaij saum toj no: posterior superior iliac spine, iliac ridge, thoracic spine process thiab lumbar spine process tuaj yeem hnov tau tiag tiag. 3. Cov haujlwm hauv qab no ua tau: kev siv tshuaj loog lumbar, kev siv tshuaj loog lumbar, kev thaiv epidural, kev thaiv caudal nerve, kev thaiv sacral nerve, kev thaiv lumbar sympathetic nerve 4. Kev ua piv txwv ntawm kev siv tshuaj loog lumbar: Thaum lub koob txhaj tshuaj mus txog rau ntawm cov leeg daj simulated, qhov kev tiv thaiv nce ntxiv thiab muaj kev xav tias muaj zog, thiab kev tawg ntawm cov leeg daj muaj kev xav tias poob siab. Ntawd yog, mus rau hauv qhov chaw epidural, muaj kev siab tsis zoo (lub sijhawm no, kev txhaj tshuaj loog yog epidural anesthesia): txuas ntxiv txhaj tshuaj lub koob yuav txhaj rau dura thiab omentum, yuav muaj kev xav tsis ua tiav thib ob, uas yog, mus rau hauv qhov chaw subomentum, yuav muaj kev tawm ntawm cov kua dej hauv lub hlwb simulated. Tag nrho cov txheej txheem simulates qhov xwm txheej tiag tiag ntawm kev siv tshuaj loog lumbar.