移除一个带的腹腔导管:说明案例
Journal of neurosurgery. Case lessons
|September 20, 2023
概括
今天很少使用的侧翼腹腔导管可以连接到胆脉. 这个案例证明了使用电和内镜安全移除连接的侧翼导管.
科学领域:
- 神经外科 神经外科
- 儿科神经外科 儿科神经外科
- 医疗器械技术 医疗器械技术
背景情况:
- 侧翼腹腔导管的设计旨在通过避免状交叉体接触来防止分流失败.
- 然而,这些片往往会留下痕,并结于胆脉,在切除过程中增加了腹腔内出血的风险.
- 因此,带边导管现在很少在临床实践中使用.
研究的目的:
- 描述一种新的技术,用于安全地切除连接于胆脉的带式心室导管.
- 举例来说明,一个儿科患者的治疗过程中,有一个由连接的带导管引起的分流感染.
主要方法:
- 一个7岁的女孩患有骨髓髓瘤结核和分流头症,呈现出一个分流感染.
- 用单极柔性电切除了与状交叉体连接的后入侧翼腹腔导管,并用单极柔性电切除.
- 移除程序是通过一个ipsilateral前孔内镜监测.
主要成果:
- 连接于胆脉的侧翼腹腔导管成功安全地被移除.
- 这项手术没有与腹腔内出血相关的直接并发症.
- 随后进行了内镜第三心室静脉切除术.
结论:
- 单极柔性电术提供了一种安全的方法,用于切除与状交连接的带式心室导管.
- 内镜监测对于可视化和确保安全移除此类设备至关重要.
- 这种技术为管理与较旧的边缘导管设计相关的并发症提供了可行的解决方案.
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