在局部麻醉下进行双边皮肤穿管排水,用于胸部结核性脊柱炎
Yoshinori Maki1,2, Motohiro Takayama3, Kohichi Go3
1Department of Neurosurgery, Hikone Chuo Hospital, Shiga, Japan.
Asian journal of neurosurgery
|July 3, 2023
概括
结核性脊柱炎的最小侵入性手术是有效的. 在局部麻醉下通过皮肤排水成功治疗胸部脊髓感染,为没有严重脊髓压缩的患者提供了不那么侵入性的选择.
科学领域:
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
- 最少侵入性的手术
背景情况:
- 结核性脊柱炎往往需要手术干预,通常是前部脱bridement和固定.
- 对于这种情况的最少侵入性手术策略,特别是在局部麻醉下,很少被记录下来.
研究的目的:
- 评估在局部麻醉下对胸部结核性脊柱炎进行皮肤穿越式脚管排水的疗效.
- 介绍一个患有胸部结核性脊柱炎的患者的案例研究,该患者使用这种微创方法进行治疗.
主要方法:
- 一名68岁的男性患者怀疑患有结核性脊髓炎和椎骨腹,接受了双边皮肤穿式管排水.
- 该程序是在局部麻醉下进行的,患者处于倾斜的位置,由双平面血管图系统指导.
- 从副脊椎腔中排出,然后开始结核化疗.
主要成果:
- 通过皮肤排水的程序已经成功完成.
- 患者在手术后的左侧疼痛方面经历了改善.
- 培养证实了结核病,患者在化疗后得到了出院.
结论:
- 在局部麻醉下进行皮肤穿式排水是治疗胸部结核性脊柱炎的可行和有效选择.
- 这种微创方法适用于没有严重的脊椎形或脊髓压缩的病例.
- 早期诊断和适当的化疗对于成功的结果至关重要.
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