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颈椎前路手术后食管穿孔的治疗

The Treatment of Oesophageal Perforation after Anterior Cervical Spinal Surgery.

作者信息

Hu Li-Sheng, Wu Zhen-Quan, Zou Li-Min, Huang Yong-Can

机构信息

Shenzhen Key Laboratory of Spine Surgery, Department of Spine Surgery, Peking University Shenzhen Hospital, Shenzhen, China.

Department of Orthopaedics, Yunfu People's Hospital, Yunfu, China.

出版信息

Case Rep Surg. 2019 Apr 1;2019:2350958. doi: 10.1155/2019/2350958. eCollection 2019.

Abstract

Oesophageal perforation is a rare complication occurring during or after cervical spine surgery, and the risk factors are not well understood. This study presents a case of a 25-year-old man with oesophageal perforation after anterior cervical spine surgery. It is suggested that four factors (anatomical structure, mechanism of trauma, implant dislodgment, and the operation) could induce postoperative oesophageal perforation after cervical spine surgery performed using the anterior surgical approach. A comprehensive understanding and early management of this complication are necessary for successful therapy.

摘要

食管穿孔是颈椎手术期间或术后发生的一种罕见并发症,其危险因素尚不清楚。本研究报告了1例25岁男性患者,在颈椎前路手术后发生食管穿孔。研究表明,在采用前路手术入路进行颈椎手术后,解剖结构、创伤机制、植入物移位和手术这四个因素可能导致术后食管穿孔。对这一并发症的全面了解和早期处理对于成功治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bce7/6466965/386b11dfe047/CRIS2019-2350958.001.jpg

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