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在单边双门内镜解压后,通过隐形持续撕裂延迟的尾巴马根:说明案例

Keitaro Matsukawa¹, Kanehiro Fujiyoshi¹, Yoshiomi Kobayashi¹

¹Department of Orthopaedic Surgery, National Hospital Organization, Murayama Medical Center, Musashimurayama, Tokyo, Japan.

Journal of neurosurgery. Case lessons

|August 18, 2025

概括

由于隐形的持续撕裂,脊柱手术后可能会出现延迟的尾巴,即使没有CSF泄漏. 早期识别和修复持久缺陷对于预防严重并发症至关重要.

科学领域:

神经外科神经外科
脊柱外科手术脊柱外科手术
最少侵入性的手术

背景情况:

偶然的长期撕裂是脊柱手术的已知并发症.
通过隐秘的持续撕裂延迟的尾巴马 Hernia 是一个罕见但严重的并发症.
单侧双门内镜 (UBE) 对持续性撕裂提出了独特的诊断挑战.

研究的目的:

为了呈现一个在UBE之后延迟的尾巴马的独特案例.
为了突出与隐秘的持续眼相关的诊断挑战.
强调预防措施和UBE中持续损伤的及时识别.

主要方法:

一名60岁的男性因腰椎道狭窄而接受了UBE减压.
术后的根性疼痛症状最初被误诊.
探索性手术透露了通过隐形持续撕裂的尾牙,随后进行了手术修复.

主要成果:

在UBE后立即缓解症状后,随之而来的是延迟严重的根部疼痛.
核磁共振成像的发现是不特定的,并且没有明显的CSF泄漏.
杜拉尔撕裂的手术修复导致了快速的症状缓解和完全的神经恢复.

结论:

持续性病理应考虑在不可治疗的术后根性疼痛的情况下,即使有不确定的发现.
在UBE期间的持续灌可能会掩盖或延迟对持续撕裂的识别.
外科医生必须对UBE期间未检测到的持续性损伤保持警,以防止像cauda equina Hernia这样的并发症.

关键词:

案例报告案例报告尾巴马的 Hernia 发生脊柱内镜手术是指脊柱内镜手术.腰部通道狭窄症腰部通道狭窄症隐秘的长时间撕裂.单侧双门内镜检查

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