在宫膜整形术后,通过皮肤进行螺丝挤出的一个案例
Yutaka Ito1, Kunio Yokoyama1, Naokado Ikeda1
1Department of Neurosurgery, Ijinkai Takeda General Hospital, Kyoto, Kyoto, Japan.
NMC case report journal
|February 17, 2026
概括
一个罕见的宫膜整形并发症发生在手术后9年,一把螺丝移动并穿孔皮肤时. 这凸显了椎手术后需要长期监测,以检测硬件问题.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
背景情况:
- 宫膜整形术是宫脊椎疾病,如骨髓病和狭窄症的标准手术.
- 带有螺丝的Hydroxyapatite间距器经常用于在手术后保持宫间层空间.
- 螺丝回退是一种已知的并发症,尽管很少有记录.
研究的目的:
- 报告一个异常罕见的病例,在宫层塑造术后,螺丝迁移延迟和皮肤穿孔.
- 为了强调宫脊椎手术后晚发硬件并发症的可能性.
- 突出拉米诺塑性手术后长期患者监测的重要性.
主要方法:
- 一个76岁的女性患者的病例报告,她接受了宫层塑造手术.
- 详细描述了在7年内从宫膜延迟的螺丝迁移.
- 手术切除迁移的螺丝和颗粒组织,然后进行初级伤口关闭.
主要成果:
- 一名76岁的患者经历了宫拉米诺整形术后7年的逐渐螺丝迁移.
- 迁移的螺丝在最初的手术9年后完全穿透了皮肤.
- 手术切除和伤口关闭导致无事件的恢复.
结论:
- 这一案例代表了第一个经过Hydroxyapatite间隔器的宫层塑造后通过皮肤进行完整螺丝挤出的记录.
- 漫长无症状的迁移期强调了需要警,长期跟进,以确定硬件并发症.
- 早期发现这种罕见的并发症对于患者的管理和手术结果至关重要.
相关概念视频
Tissue Membranes
A tissue membrane is a thin layer of cells that covers the outside of the body, the organs, internal passageways that lead to the exterior of the body, and the lining of the moveable joint cavities. There are two basic types of tissue membranes— connective tissue and epithelial membranes.
Connective Tissue Membranes
The connective tissue membrane is formed solely from connective tissue. These membranes encapsulate organs, such as the kidneys, and line our movable joints. A synovial membrane is...
Connective Tissue Membranes
The connective tissue membrane is formed solely from connective tissue. These membranes encapsulate organs, such as the kidneys, and line our movable joints. A synovial membrane is...
Cells of the Epidermis
The epidermis is made of four or five layers of epithelial cells, depending on its location in the body. From deep to superficial, these layers are the stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, and stratum corneum.
The cells in all these layers except the stratum basale are called keratinocytes, a type of cell that manufactures and stores the protein keratin. The keratinocytes in the stratum corneum are dead and regularly slough away, being replaced by cells from...
The cells in all these layers except the stratum basale are called keratinocytes, a type of cell that manufactures and stores the protein keratin. The keratinocytes in the stratum corneum are dead and regularly slough away, being replaced by cells from...
Papillary Dermis
Dermis
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen and...
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen and...
Accessory Structures of the Skin: Nails
Nails are one of the important accessory structures of the skin. They are hard, protective structures that cover the dorsal surface of the distal phalanges of fingers and toes. Nails are composed of specialized keratinized cells and serve various functions, including protection, sensation, and manual dexterity.
The main components of a nail include the following.
Nail Plate: The nail plate is the visible portion of the nail that extends beyond the fingertips or toes. It is a hard, translucent...
The main components of a nail include the following.
Nail Plate: The nail plate is the visible portion of the nail that extends beyond the fingertips or toes. It is a hard, translucent...
Accessory Structures of the Skin: Sebaceous Glands
A sebaceous gland is a type of oil gland found almost all over the skin ( except palms and soles) and helps lubricate and waterproof the skin and hair. Most sebaceous glands are associated with hair follicles. They generate and excrete sebum, a mixture of lipids, onto the skin surface, thereby naturally lubricating the dry and dead layer of keratinized cells of the stratum corneum, keeping it pliable.
These glands that produce the oils on the skin and hair are holocrine glands. The mature...
These glands that produce the oils on the skin and hair are holocrine glands. The mature...
Reticular Dermis
The papillary and reticular dermis are the two layers of the dermis. They are made of connective tissue with fibers of collagen extending from one to the other, making the border between the two somewhat indistinct. The dermal papillae extending into the epidermis belong to the papillary layer, whereas the dense collagen fiber bundles below belong to the reticular layer.
Reticular Layer
Underlying the papillary layer is the much thicker reticular layer, composed of dense, irregular connective...
Reticular Layer
Underlying the papillary layer is the much thicker reticular layer, composed of dense, irregular connective...


