髂嵴取骨后发生的腰疝。
Lumbar hernia after iliac crest bone harvest.
作者信息
Pastore Anthony, Sobel Jonathan E
机构信息
Anthony Pastore was a student in the PA program at Pace University-Lenox Hill Hospital at the time this article was written. He now practices orthopedic surgery in Fairfield, Conn. Jonathan E. Sobel is senior administrative director for PA services at Northwell Health-Lenox Hill Hospital in New York, N.Y., and president and chair of the board of directors of the American Academy of PAs. The authors have disclosed no potential conflicts of interest, financial or otherwise.
出版信息
JAAPA. 2019 Jan;32(1):33-34. doi: 10.1097/01.JAA.0000546479.64441.c9.
A lumbar hernia is a rare occurrence, with about 300 cases reported in the literature since the first publication by Garengeot in 1731. Incisional lumbar hernias are defined as secondary acquired hernias that can develop after surgeries such as nephrectomies or aortic aneurysm repairs. Harvesting bone from the iliac crest also has been identified as a cause of incisional lumbar hernias, occurring after about 0.5% of these procedures. This article discusses a patient presenting with flank pain years after an iliac crest bone harvest as well as a brief review of the pathogenesis and history of lumbar hernias.
腰椎疝较为罕见，自1731年加朗若首次发表相关文献以来，文献报道约300例。切口性腰椎疝被定义为继发性后天性疝，可在肾切除术或主动脉瘤修复术等手术后发生。从髂嵴获取骨组织也被确定为切口性腰椎疝的一个原因，约0.5%的此类手术会发生这种情况。本文讨论了一名在髂嵴取骨多年后出现胁腹疼痛的患者，并简要回顾了腰椎疝的发病机制和历史。
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