两种椎间脊椎植入物的疯狂路径:晚期迁移,食道内生长和直肠排泄:一个特殊的案例报告
Philipp R Sager1, Martin A Seule1, Fabrice A Külling1
1Spinal Surgery Team, Wirbelsäulenzentrum Ostschweiz AG, St. Gallen, Switzerland.
Journal of spine surgery (Hong Kong)
|January 16, 2025
概括
两个人造宫盘异常迁移,其中一个显示食道内生长和直肠分泌,强调了宫盘置换手术后长期监测的必要性.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 医疗设备并发症 医疗设备并发症
- 胃肠道放射学 胃肠道放射学
背景情况:
- 人工宫椎间盘关节整形术 (ACDA) 是一种手术程序,用于替换受损的宫椎间盘.
- 植入物脱位是ACDA的一种已知的并发症.
- 这份报告详细介绍了一个不寻常的ACDA植入物迁移案例.
研究的目的:
- 介绍一个独特的案例,涉及两个人造宫椎盘的广泛迁移和食道/直肠通道.
- 强调在人工椎椎间板关节整形术 (ACDA) 后对患者长期随访的关键需求.
主要方法:
- 一名患有慢性喉炎和下肢疼痛的患者接受了MRI,揭示了迁移的宫盘.
- 进行了放射性检查,包括全身CT,以评估迁移的磁盘的范围和位置.
- 进行了耳鼻喉评估,以排除食道穿孔并确认盘位.
主要成果:
- 发现两个人造宫盘 (布莱恩宫盘) 已经迁移.
- 一个圆盘显示前/后移动,而第二个圆盘的位置最初不清楚.
- 随后的成像证实了一条特殊的迁移路径,涉及食道内生长和最终两盘的直肠分泌.
结论:
- 这一案例强调了在宫椎间盘置换后几年可能出现严重的长期植入物迁移的可能性.
- 患有ACDA病史且表现出声或食障碍等症状的患者需要进行彻底的调查,包括成像.
- 对于接受了人造宫椎盘手术的患者来说,长期监测至关重要,以检测罕见的并发症.
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