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逐步取出破碎的垂体咬骨钳。

Stepwise Retrieval of a Broken Pituitary Disc Rongeur.

作者信息

Menger Richard P, Lazzari Zachary, Nanda Anil

机构信息

Neurosurgery and Political Science, University of South Alabama, Mobile, USA.

Medicine, University of South Alabama College of Medicine, Mobile, USA.

出版信息

Cureus. 2020 Jun 11;12(6):e8561. doi: 10.7759/cureus.8561.

DOI:10.7759/cureus.8561
PMID:32670698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7358931/
Abstract

We report a case of a patient undergoing open microdiscectomy at L5-S1, wherein the distal tip of a pituitary rongeur became dislodged within the disc space. Complication management and avoidance of anterior advancement are paramount. A stepwise plan to retrieve the foreign body was entertained in a methodical fashion. Such device failure places the patient at greater risk of injury, extends operation time, and adds undue burden on the surgical team. This situation warrants discussing the complications from retained foreign bodies and measures taken for their removal.

摘要

我们报告了一例在L5-S1节段接受开放性显微椎间盘切除术的患者，其中垂体咬骨钳的远端尖端在椎间盘间隙内移位。并发症的处理和避免向前推进至关重要。我们有条不紊地考虑了一个逐步取出异物的计划。这种器械故障使患者面临更大的受伤风险，延长了手术时间，并给手术团队增加了不必要的负担。这种情况值得讨论异物残留的并发症以及为取出异物所采取的措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/7358931/d2d6f3542994/cureus-0012-00000008561-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/7358931/4542be980a0c/cureus-0012-00000008561-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/7358931/83dcef286f07/cureus-0012-00000008561-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/7358931/cb7edf27cf0a/cureus-0012-00000008561-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/7358931/322ca553b3e1/cureus-0012-00000008561-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/7358931/d2d6f3542994/cureus-0012-00000008561-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/7358931/4542be980a0c/cureus-0012-00000008561-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/7358931/83dcef286f07/cureus-0012-00000008561-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/7358931/cb7edf27cf0a/cureus-0012-00000008561-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/7358931/322ca553b3e1/cureus-0012-00000008561-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/7358931/d2d6f3542994/cureus-0012-00000008561-i05.jpg

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本文引用的文献

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Minimally invasive spine surgery in the pediatric and adolescent population: A case series.儿科和青少年人群的微创脊柱手术：病例系列
Surg Neurol Int. 2018 Jun 7;9:116. doi: 10.4103/sni.sni_417_17. eCollection 2018.
2
Lumbar microdiscectomy complication rates: a systematic review and meta-analysis.腰椎显微椎间盘切除术的并发症发生率：一项系统评价与荟萃分析。
Neurosurg Focus. 2015 Oct;39(4):E6. doi: 10.3171/2015.7.FOCUS15281.
3
Surgical mystery: where is the missing pituitary rongeur tip?手术之谜：失踪的垂体咬骨钳尖端在哪里？
Spine (Phila Pa 1976). 2010 Aug 1;35(17):E867-72. doi: 10.1097/BRS.0b013e3181d85bec.
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Neurogenic claudication and radiculopathy as delayed presentations of retained spinal bullet.神经源性间歇性跛行和神经根病作为滞留脊髓子弹的延迟表现。
Spine J. 2009 Oct;9(10):e5-8. doi: 10.1016/j.spinee.2009.06.009. Epub 2009 Jul 29.
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A foreign body due to a broken disc punch in the S1 root sleeve.S1神经根袖内因椎间盘打孔器破损所致的异物。
Spine J. 2007 May-Jun;7(3):380-1. doi: 10.1016/j.spinee.2006.08.018.
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Textiloma: a case of foreign body mimicking a spinal mass.纺织瘤：一例酷似脊柱肿块的异物病例。
Eur Spine J. 2006 Oct;15 Suppl 5(Suppl 5):626-9. doi: 10.1007/s00586-006-0136-6. Epub 2006 May 31.
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Long-term clinical manifestations of retained bullet fragments within the intervertebral disk space.椎间盘间隙内残留子弹碎片的长期临床表现。
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