模仿椎间盘的血管环:一个公平的警告
Marcelo Galarza1,2, Roberto Gazzeri3, Yamila Basilotta4
1School of Medicine, Regional Service of Neurosurgery, "Virgen de La Arrixaca" University Hospital, Universidad de Murcia, El Palmar, 30120, Murcia, Spain. m.galarza@um.es.
Neurosurgical review
|August 14, 2024
概括
腰椎血管异常可以模仿椎间盘,导致误诊. 这些血管环的切除手术,外周静脉或动脉静脉囊有效地解决了根性病变的症状.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 脊柱外科手术 脊柱外科手术
背景情况:
- 腰椎间盘是根基病变的常见原因之一.
- 腰部外周腔空间的血管异常可能呈现出类似的症状和成像发现.
- 准确的诊断对于有效的治疗至关重要.
研究的目的:
- 报告最初被诊断为腰椎间盘的患者的手术经验,但发现有血管异常.
- 为了评估手术切除这些血管异常的疗效.
- 突出这些罕见疾病的诊断挑战和成功管理.
主要方法:
- 对21名连续接受为怀疑腰椎间盘的手术的患者进行了回顾性审查.
- 患者通过L5-S1,L4-L5或L3-L4级别的开放式最小拉米切除术进行手术治疗.
- 在手术内发现的结果显示腰部外周静脉或动脉静脉,然后切除.
主要成果:
- 21名患者 (14名女性,7名男性;平均年龄39岁) 呈现腰部疼痛和根茎病变.
- 手术显示腰部外周静脉变形 (16名患者) 或动脉静脉 (5名患者) 而不是椎间盘.
- 所有患者都经历了根细胞病变的改善,4人报告持续的腰部疼痛. 平均随访时间为47个月.
结论:
- 腰部外周静脉和动脉静脉可以在成像上模仿椎间盘.
- 这些血管异常的手术切除是一种安全有效的治疗方法,用于相关的激光病变.
- 谨慎的手术技术允许安全切除,同时保持底层的圆盘.
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