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Kang Hoon Lee¹, Dong Wuk Son, Bu Kwang Oh

¹Pusan National University Yangsan Hospital, Department of Neurosurgery, Yangsan, Korea.

Turkish neurosurgery

|August 2, 2023

概括

斜侧侧体间融合 (OLIF) 可能导致尿道并发症. 精心的手术前成像和手术关键是防止这些罕见但严重的伤害在腰部融合程序.

科学领域:

脊柱外科手术脊柱外科手术
最少侵入性手术的方法
泌尿器科泌尿器科泌尿器科泌尿器科

背景情况:

斜侧侧体间融合 (OLIF) 越来越多地用于退行性腰部疾病.
虽然侵袭性最小,但OLIF具有潜在的风险,包括罕见的尿路损伤.
在OLIF期间的逆关节接入需要意识到相邻结构.

研究的目的:

在OLIF手术后报告两例尿道并发症.
强调在OLIF手术期间对尿道完整性的警的重要性.
在OLIF中强调尿管损伤的预防措施.

主要方法:

两名接受OLIF的患者的病例报告.
手术方法和手术内事件的描述.
术后管理和结果的审查.

主要成果:

一名患者经历了需要双J导管治疗的直接尿路损伤.
另一个患者患有疑似尿管收缩,这归因于收缩器的压缩.
这两种情况都强调了OLIF期间尿道损伤的可能性.

结论:

尿道并发症,虽然不常见,可以在OLIF期间发生.
术前成像对于精确的尿管识别至关重要.
精细的手术技术和手术期间的意识对于预防OLIF的尿管损伤至关重要.

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