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颈椎硬膜外脓肿的全内镜下切除:病例报告及技术说明

Full Endoscopic Removal of Cervical Spinal Epidural Abscess: Case Report and Technical Note.

作者信息

Chang Kai-Sheng, Sun Li-Wei, Cheng Chun-Yuan, Chang Shang-Wen, Chen Chien-Min

机构信息

Division of Neurosurgery, Department of Surgery, Changhua Christian Hospital, Changuhua, Taiwan.

School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

出版信息

Neurospine. 2020 Jul;17(Suppl 1):S160-S165. doi: 10.14245/ns.2040218.109. Epub 2020 Jul 31.

Abstract

Spinal epidural abscess is a rare disease that is less likely to occur in the cervical region. When it occurs here, cervical spondylodiscitis can develop. Surgical treatment is recommended because of possible life-threatening septic and neurological complications. We present a case of an 81-year-old man who suffered from right side paralysis and was subsequently diagnosed with a C4 to C7 epidural abscess. We utilized full endoscopic surgery for patient management. The traditional surgical methods for treating cervical epidural abscesses may cause spinal instability. There has only been one previous case report on the endoscopic-assisted method. Minimal invasive surgery by a full endoscopic method can be done with a small incision and is associated with minimal blood loss and muscle damage. This is the first report on cervical epidural abscess drainage utilization a full endoscopic method. We recommend this alternative minimally invasive method to manage cervical epidural abscess.

摘要

脊柱硬膜外脓肿是一种罕见疾病,在颈椎区域发病的可能性较小。当在此处发病时,可能会发展为颈椎间盘炎。由于可能出现危及生命的败血症和神经并发症,建议进行手术治疗。我们报告一例81岁男性病例,该患者出现右侧瘫痪,随后被诊断为C4至C7硬膜外脓肿。我们采用全内镜手术对患者进行治疗。治疗颈椎硬膜外脓肿的传统手术方法可能会导致脊柱不稳定。此前仅有一篇关于内镜辅助方法的病例报告。通过全内镜方法进行微创手术只需小切口,且出血量和肌肉损伤最小。这是首例关于采用全内镜方法进行颈椎硬膜外脓肿引流的报告。我们推荐这种替代性的微创方法来治疗颈椎硬膜外脓肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb3/7410373/2671f435c572/ns-2040218-109f1.jpg

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