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无器械故障的迟发性食管损伤:颈椎前路器械置入的并发症

Delayed esophageal injury without instrumentation failure: complication of anterior cervical instrumentation.

作者信息

Witwer Brian P, Resnick Daniel K

机构信息

Department of Neurological Surgery, University of Wisconsin Hospitals and Clinics, 600 E. Highland Avenue, Madison, WI 53792, USA.

出版信息

J Spinal Disord Tech. 2003 Dec;16(6):519-23. doi: 10.1097/00024720-200312000-00006.

Abstract

The authors describe a case of a 67-year-old man who presented with a delayed esophageal perforation 4 years after anterior cervical spine surgery for spondylotic myelopathy. Diagnosis was made with esophagoscopic visualization of the lesion and repair performed with hardware removal and esophageal closure utilizing a sternocleidomastoid muscle flap. The pertinent literature is reviewed and the therapeutic implications discussed.

摘要

作者描述了一例67岁男性患者,该患者因脊髓型颈椎病行颈椎前路手术后4年出现迟发性食管穿孔。通过食管镜检查病变部位进行诊断,并通过移除固定装置及利用胸锁乳突肌瓣进行食管闭合来完成修复。本文回顾了相关文献并讨论了其治疗意义。

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