脊柱动脉静脉形形的手术治疗和结果
Andhika Yudistira1, Syaifullah Asmiragani1, Ery Satriawan1
1Orthopaedics and Traumatology Department, Faculty of Medicine Universitas Brawijaya - Saiful Anwar General Hospital, Malang, East Java, Indonesia.
概括
脊柱动脉静脉形形 (AVMs) 的手术切除导致相关动脉瘤的自发回归和患者功能改善. 这一案例强调了手术作为罕见的脊柱AVM的关键治疗方法,改善了结果.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 神经外科 神经外科
背景情况:
- 脊柱动脉静脉形 (AVM) 是一种罕见的血管异常,具有高出血和神经缺陷的风险.
- 了解脊髓AVM和脊髓血液供应的血管解剖学对于有效治疗至关重要.
- 这些病变涉及血液从静脉到动脉通过异常的毛细血管床的异常分流.
研究的目的:
- 报告脊柱动脉静脉形形 (SAVM) 在外科切除后愈合的病例.
- 强调手术干预在治疗罕见SAVM病变方面的重要性.
- 突出了手术后相关动脉瘤自发回归的潜力.
主要方法:
- 一名56岁的男性被诊断出SAVM,呈现出渐进的下肢虚弱和麻木,经历了外科切除.
- 诊断成像包括胸脊椎MRI,以确定血管损伤.
- 手术过程包括凝血和食动脉的切口,随后是血液瘤的去除. 在术后评估中,使用了奥斯韦斯特里残疾指数 (ODI) 和SF-36问卷.
主要成果:
- 动脉瘤被手术切除,相关动脉瘤在随访期间表现出自发回归.
- 手术后的康复显著改善了患者的运动功能.
- 在手术后七个月,患者报告了身体功能,情绪健康,社会功能,疼痛程度和整体健康状况的显著改善,使其能够使用行走辅助器进行行走.
结论:
- 必须仔细考虑与AVM相关的脊髓动脉瘤的治疗策略.
- 脊柱动脉静脉形形的手术治疗提供了显著的优势和有利的结果.
- 这一案例强调了手术切除在治疗脊柱AVM和改善患者生活质量的有效性.
相关概念视频
01:26Aneurysm III: Interprofessional Care
478
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
478
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
325
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
325
01:25Hemodialysis I: Introduction
4.0K
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
4.0K