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一根置于颈段硬膜外间隙达30个月的剪短式Racz导管:一例病例报告。

A sheared Racz catheter in cervical epidural space for thirty months: a case report.

作者信息

Kang Jae Hyuk, Choi Hoon, Kim Jin Sung, Lee Min Kyu, Park Hue Jung

机构信息

Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, College of Medicine, Catholic University of Korea, Seoul, Korea.

Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, Catholic University of Korea, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2015 Apr;68(2):196-9. doi: 10.4097/kjae.2015.68.2.196. Epub 2015 Mar 30.

DOI:10.4097/kjae.2015.68.2.196
PMID:25844142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4384411/
Abstract

Percutaneous epidural neuroplasty may lead to complications such as hematoma, infection, epidural abscess, meningitis, hypotension, respiratory depression, urinary and fecal dysfunction, sexual dysfunction and paresthesia. Other technical complications may include shearing or tearing, misplacement, blockage and migration of the catheter. We report a case of a 41-year-old female patient, who underwent surgical removal of a sheared catheter, which was retained for 30 months after cervical Racz neuroplasty.

摘要

经皮硬膜外神经成形术可能会导致诸如血肿、感染、硬膜外脓肿、脑膜炎、低血压、呼吸抑制、泌尿和粪便功能障碍、性功能障碍以及感觉异常等并发症。其他技术并发症可能包括导管的剪切或撕裂、误置、堵塞和移位。我们报告一例41岁女性患者的病例,该患者在颈椎拉茨神经成形术后保留了30个月的剪切导管,之后接受了手术取出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5fb/4384411/b2a568690db0/kjae-68-196-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5fb/4384411/310f53014f4a/kjae-68-196-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5fb/4384411/39e18264c739/kjae-68-196-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5fb/4384411/b2a568690db0/kjae-68-196-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5fb/4384411/310f53014f4a/kjae-68-196-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5fb/4384411/39e18264c739/kjae-68-196-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5fb/4384411/b2a568690db0/kjae-68-196-g003.jpg

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Medicina (Kaunas). 2025 Aug 1;61(8):1397. doi: 10.3390/medicina61081397.
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J Med Case Rep. 2016 Oct 6;10(1):277. doi: 10.1186/s13256-016-1064-7.

本文引用的文献

1
Complications of epidural neuroplasty: a retrospective evaluation.硬膜外神经松解术的并发症:回顾性评估。
Neuromodulation. 2003 Oct;6(4):237-47. doi: 10.1046/j.1525-1403.2003.03031.x.
2
Management of the sheared epidural catheter: is surgical extraction really necessary?剪断硬膜外导管的处理:真的需要手术取出吗?
J Clin Anesth. 2007 Jun;19(4):310-4. doi: 10.1016/j.jclinane.2006.11.005.
3
Intrathecal catheter granuloma associated with isolated baclofen infusion.鞘内导管肉芽肿与单独使用巴氯芬输注相关。
Anesth Analg. 2006 Mar;102(3):848-52. doi: 10.1213/01.ane.0000196523.06573.10.
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On knots in epidural catheters: a case report and a review of the literature.硬膜外导管打结:一例病例报告及文献综述
Int J Obstet Anesth. 2006 Apr;15(2):159-62. doi: 10.1016/j.ijoa.2005.07.003. Epub 2006 Jan 23.
5
A retained Racz catheter fragment after epidural neurolysis: implications during magnetic resonance imaging.硬膜外神经松解术后残留的拉茨导管碎片:磁共振成像中的影响
Anesth Analg. 2003 Jun;96(6):1717-1719. doi: 10.1213/01.ANE.0000062780.90842.63.
6
Computed tomography images of entrapped epidural catheter.硬膜外导管置入部位的计算机断层扫描图像。
Reg Anesth Pain Med. 2002 Sep-Oct;27(5):517-9.
7
The breaking of an intrathecally-placed epidural catheter during extraction.拔除过程中鞘内放置的硬膜外导管断裂。
Anesth Analg. 2002 Oct;95(4):1087-9, table of contents. doi: 10.1097/00000539-200210000-00055.
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Lumbar stenosis complicating retained epidural catheter tip.
Anesthesiology. 1995 Nov;83(5):1115-8. doi: 10.1097/00000542-199511000-00027.
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The case of the errant epidural catheter.硬膜外导管失误事件
Anesthesiology. 1981 May;54(5):419-21. doi: 10.1097/00000542-198105000-00014.
10
Use of computed tomography to locate a sheared epidural catheter.使用计算机断层扫描定位硬膜外导管断端。
Anesth Analg. 1987 Aug;66(8):795-6.