Izici zomkhiqizo
1. Ukhalo lunganyakaziswa.U-opharetha udinga ukubamba ikhanda lesiguli esifanisiwe ngesandla esisodwa futhi abambe isokhethi yomlenze wemilenze yomibili ephansi ngokuqinile ngesinye isandla ukuze enze umgogodla ube kyphotic futhi wandise isikhala se-vertebral ngangokunokwenzeka ukuze uqedele ukubhoboza.2. Isakhiwo sezicubu ze-lumbar sinembile futhi izimpawu zomzimba zomzimba zisobala: kukhona i-1 ~ 5 ye-vertebrae ye-lumbar ephelele (umzimba we-vertebral, i-vertebral arch plate, inqubo ye-spinous), i-sacrum, i-sacral hiatus, i-sacral Angle, i-spinous ligament ephakeme, i-interspinous ligament. , i-yellow ligament, i-dura mater kanye ne-omentum, kanye ne-subomentum, isikhala se-epidural kanye nomsele we-sacral owenziwe yizicubu ezingenhla: umgogodla we-posterior superior, i-iliac ridge, inqubo yomgogodla we-thoracic kanye nenqubo ye-lumbar spine ingazwakala ngempela.3. Imisebenzi elandelayo ingenzeka: i-anesthesia ye-lumbar, ukubhoboza i-lumbar, i-epidural block, i-caudal nerve block, i-sacral nerve block, i-lumbar sympathetic nerve block 4. Iqiniso elifanisiwe lokubhoboza i-lumbar: Lapho inaliti yokubhoboza ifinyelela kumsipha ophuzi ofanisiwe, ukumelana kuyanda. futhi kukhona umuzwa wokuqina, futhi ukuphumelela kwe-yellow ligament kunomqondo osobala wokudumazeka.Okusho ukuthi, endaweni ye-epidural, kukhona ingcindezi engalungile (ngalesi sikhathi, umjovo we-anesthetic liquid i-epidural anesthesia): ukuqhubeka nokujova inaliti kuzobhoboza i-dura kanye ne-omentum, kuzoba nomuzwa wesibili wokuhluleka, ukuthi ukuthi, esikhaleni se-subomentum, kuzoba nokuphuma koketshezi lobuchopho okufanisiwe.Yonke inqubo ilingisa isimo sangempela sokubhoboza i-lumbar emtholampilo.