预防危害性血管事件:刺骨部件螺丝阻碍外部阴道血管 - 一个独特的案例报告
Won Yong Shon1, Nirav Rajesh Gupta1, Shobit Nitin Deshmukh1
1Department of Orthopaedic Surgery, Bumin Hospital, Busan, South Korea.
Journal of orthopaedic case reports
|October 27, 2023
概括
修复部手术带有风险,包括罕见但严重的骨盆血管损伤. 仔细规划和分阶段的程序对于防止在拆螺丝时发生灾难性突破伤害至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 血管外科 血管外科
- 医学案例研究 医学案例研究
背景情况:
- 修复全关节整形需要精确的手术规划.
- 盆腔血管损伤是关节整形术的罕见但严重并发症,患病率和死亡率高.
- 体螺丝支柱对盆腔血管构成了一个独特的外科手术挑战.
研究的目的:
- 在修复整部关节整形手术期间报告一个独特的acetabular螺杆支柱对外阴道血管的病例.
- 强调手术前评估和手术技术在预防血管损伤方面的至关重要.
主要方法:
- 一位64岁的女性患者正在接受关节修复手术.
- 在手术前识别体螺丝对外阴道血管的附着性.
- 采用了一种双重方法 (ilioinguinal 和 posterior) 的分阶段手术程序.
主要成果:
- 发现体螺丝粘附在外侧阴道血管上.
- 在拆除螺丝之前,血管粘附被仔细释放.
- 一个分阶段的程序允许成功修复手术,没有直接的血管并发症.
结论:
- 外科医生必须意识到在修复关节整形手术中,内螺丝可能造成血管损伤.
- 手术前的计算机断层扫描血管造影对于确认植入物与血管的接近至关重要.
- 采用双重方法和分阶段程序的个性化管理可以带来有利的结果.
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