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在内镜手术后,在外科手术部位上方进行体外采集:一个病例报告

George B Walbridge¹, Jonathan Paris², Rohan Sarna³

¹Emergency Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA.

|September 20, 2024

概括

本案例研究报告了一种罕见的脊柱内镜解压后的腹腔采集,这是一种治疗慢性背痛的微创手术. 原因尚不清楚,尽管没有持续的撕裂,突出了可能的灌相关伤害.

科学领域:

神经外科神经外科
最少侵入性的脊柱手术
脊柱成像 - 脊柱成像 - 脊柱成像

背景情况:

内镜解压越来越多地用于缓解慢性背痛.
这些手术是侵入性最小的,并发症率低.
腹腔内收集是罕见的并发症,通常与腹腔内穿刺有关.

研究的目的:

报告一个独特的情况,在内镜脊椎解压后进行了腹腔穿刺,而没有腹腔穿刺.
讨论这种罕见并发症的潜在病因.
突出需要进一步调查与内镜手术相关的并发症.

主要方法:

一份病例报告详细介绍了一名患者接受了内膜内镜层切除术,面切除术,侧腔缩和左L5减压.
分析了临床表现,手术细节和随访MRI发现.
研究了皮收集的病因,考虑到灌压力和血管创伤.

主要成果:

经过解压后,在手术部位上方形成了体内皮层,尽管体内皮层完好无损.
患者最初经历了疼痛缓解,但却出现了新的神经症状 (腿筋疲软,双侧脚痛).
重复的核磁共振扫描证实了没有新的腹腔内收集,在解压部位的客观改善.

结论:

这个案例呈现了一个独特的体内皮下采集,在没有体内皮穿孔的内镜解压后进行.
潜在的原因包括灌压力损伤或桥梁船舶的创伤.
需要进一步的研究来了解这种收藏的机制和影响.

关键词:

进行内镜解压缩.干预性疼痛管理是一种干预性疼痛管理.术后并发症术后并发症在体内采集的次体采集.皮下血腫 (subdural hematoma) 是一種皮下血腫.

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