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服持续性血清瘤:复杂的脊柱修复手术后的多学科管理 - 一个案例报告

Clelia Dogny¹, Matteo Scampa², Jérôme Martineau¹

¹Department of Plastic, Reconstructive, and Aesthetic Surgery, University Hospital of Geneva, Geneva, Switzerland.

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 20, 2025

概括

在脊柱手术后持续的血清瘤可能具有挑战性. 多西环林硬化疗法有效地治疗了一个复杂的病例,解决了血清瘤,并在多次失败干预后防止复发.

科学领域:

神经外科神经外科
整形外科手术整形外科手术
伤口管理伤口管理

背景情况:

慢性血清瘤和伪阴茎细胞形成是脊柱仪器仪表后罕见但具有挑战性的并发症,特别是在先前感染和多次修复手术后.
这些并发症的复发率很高,造成严重的治疗困难.

研究的目的:

在多层次的腰部融合后,呈现一个复杂的伪阴茎细胞病例,演变为持续性血清瘤与皮肤囊.
审查硬化疗法方案,以管理如此具有挑战性的术后伤口并发症.

主要方法:

一名75岁的患者有L3-S1融合史,在经过修复后手术后出现了持久的伪名细胞和血清瘤,并由Staphylococcus Epidermidis感染复杂化.
尽管进行了多次手术修复和覆盖,血清瘤仍然存在,这导致通过放射导向排水启动了多种灌注多西环林硬化疗法方案.

主要成果:

多西环林硬化疗法导致排水量逐渐减少,允许在34天后进行排水.
随访超声波证实没有显著的液体收集,并且在随访期间没有观察到抽或血清瘤的复发.

结论:

这一案例凸显了脊柱外科手术中治疗术后伤口并发症的困难,特别是在先前感染和疑似脑脊液泄漏的情况下.
一个踏脚的SGAP提供了持久的覆盖,而多西环林硬化疗法作为一个有效的救援治疗持续性血清瘤后未成功的手术修订.

关键词:

在CSF泄漏.慢性血清瘤是一种慢性血清瘤.翻盖翻盖翻盖翻盖修订修订修订硬化疗法硬化疗法脊柱外科手术脊柱外科手术这是一种伪名单病.

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