脊椎手术后的胰腺伪囊:总是想到它-一个案例报告
Maria Vittoria Stern1, Filomena Valentina Paradiso1, Riccardo Rizzo1
1Pediatric Surgery Unit, Department of Maternal and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, 00136 Rome, Italy.
Annali italiani di chirurgia
|June 16, 2025
概括
保守的管理有效地治疗了一名儿科患者的神经性脊柱病脊椎手术后的罕见胰腺伪囊 (PP). 这种方法解决了症状和液体积累,突出了其在类似情况下的安全性和有效性.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 神经外科 神经外科
背景情况:
- 胰腺伪囊 (PP) 是脊椎手术后罕见的胃肠道并发症.
- 神经性脊椎病,通常与脑性麻 (CP) 相关,需要复杂的手术干预,如脊柱关节切除.
- 术后腹部并发症发生在接受脊髓手术的CP患者中5% - 55%.
研究的目的:
- 在小儿科患者脊柱后手术中,描述胰腺伪囊的成功保守管理.
- 强调在脊椎手术后持续出现腹部症状的患者考虑胰腺并发症的重要性.
主要方法:
- 一名12岁的CP女性接受了脊柱关节切除和腰部固定,以治疗神经性脊柱病.
- 手术后的腹部CT显示出一个大型的胰腺伪囊.
- 进行了穿皮排水,囊液分析证实了高胺酶度,表明PP.
主要成果:
- 胰腺伪囊成功地通过通过皮肤排水进行了保守的管理.
- 患者的症状在23天内逐渐消失,伪囊完全消失.
- 保守的管理被证明是安全和有效的,没有报告的并发症.
结论:
- 在脊柱手术后经历持续的术后腹部症状的儿科患者,应考虑胰腺并发症,如PP.
- 保守的管理,包括皮肤间排水,是年轻患者,特别是那些整体健康状况不佳的PP的推和有效方法.
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