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对于高度向下迁移的C7-T1圆盘进行跨脚透皮内镜椎切除术:一个病例报告

Bo-Tao Zhang^1,2, Da-Bin Wang³, Sheng Li³

¹Department of Pain Management, Luzhou People's Hospital, Luzhou, Sichuan Province, China. 20200299120432@stu.swmu.edu.cn.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|November 10, 2025

概括

通过皮肤进行内镜椎切除术 (PECD) 的新型跨脚式方法有效地治疗了一种罕见的C7-T1盘. 这种微创手术为传统手术提供了一个安全而明确的替代方案,用于挑战宫胸椎间盘.

科学领域:

神经外科神经外科
脊柱外科手术脊柱外科手术
最少侵入性手术的方法

背景情况:

宫椎间盘 (C7-T1) 椎间盘是不常见的,占宫椎间盘的3.5%-8%.
严重移位的C7-T1椎间板带来了重大的手术挑战,特别是当它迁移到T1脊椎体后面时.
标准前部方法可能需要危险的手术,如C7-T1椎间盘的手腕切除术或胸骨切除术.

研究的目的:

提出一种新的穿越式方法,用于皮肤内镜椎切除术 (PECD).
评估该技术在治疗具有挑战性的C7-T1椎间板的疗效.
为宫胸椎间盘的传统开放手术提供一种最小侵入性的替代方案.

主要方法:

一名50岁的男性患有C7-T1圆盘挤出,在局部麻醉下接受了PECD的新型跨脚式方法.
该手术的目标是磁盘,从尾部迁移到T1脊椎体的后边.
磁共振成像 (MRI) 证实了的位置和程度.

主要成果:

患者从部和上肢疼痛中立即获得了缓解.
神经学缺陷,包括轻微的手部内在肌肉虚弱,显示改善.
患者在手术后2小时内动员起来,并在7天后出院.

结论:

跨脚式方法为C7-T1级的PECD提供了一种新的,最少侵入性的接入路径.
这种技术避免了骨切割,提供了清晰的外科视图,并保留了宫胸部运动段.
与标准前部方法相比,它为管理具有挑战性的C7-T1盘提供了更安全,更有效的替代方案.

关键词:

宫胸部结节椎间盘的发生高度迁移的宫椎间盘.最少的侵入性手术是最少的侵入性手术.穿皮内镜子宫椎切除术是通过皮肤进行的.跨度的方法. 跨度的方法.

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