先天性腹膜与脊椎病的关联
Michal Koziara1, Stuart Irvine2, Nicholas Wei2
1Great North Children's Hospital, Newcastle Upon Tyne, UK. m.koziara@nhs.net.
Spine deformity
|January 22, 2025
概括
在先天性隔膜 (CDH) 修复后,脊椎是常见的,通常与其他健康问题有关. 大多数情况下,脊椎曲不需要手术干预.
科学领域:
- 儿科手术 儿科手术
- 整形外科手术 整形外科手术
- 发育儿科 发育儿科
背景情况:
- 生产腹膜 (CDH) 修复是一种复杂的程序,可能会产生长期并发症.
- 脊柱形,包括脊柱形,是儿科手术患者的一个已知的问题.
研究的目的:
- 为了确定为CDH进行手术修复的患者中的脊椎病变的患病率.
- 调查这些患者脊椎病的潜在原因 (病因学).
主要方法:
- 对从1997年至2023年期间接受CDH治疗的145名患者的前性收集数据库的审查.
- 通过成像研究来诊断脊柱结石和先天性脊柱异常.
- 医疗记录的分析,以评估受影响个体的脊椎病变病因和治疗.
主要成果:
- 在CDH修复后的患者中,10.3% (15人中145人) 患有脊椎病,通常在10岁之前.
- 多系统异常,而不是先天性脊椎异常,是8例病例的常见原因.
- 只有很少一部分脊椎病患者需要手术治疗.
结论:
- 脊椎病是CDH修复后的一个显著并发症.
- 病因通常是多因素的,先天性脊椎异常很少出现.
- 很少有患有CDH的儿童需要脊椎病治疗,而合成贴片的使用也没有显示出强烈的关联.
相关概念视频
Herniated Intervertebral Disc l: Introduction
40
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
40
Hiatal Hernia
86
A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or...
86


