妊娠期症状性椎间盘突出症的管理：一例病例报告及文献综述。
Management of symptomatic disc herniation in pregnancy: A case report and literature review.
作者信息
Mitha Rida, Nadeem Syed Faisal, Bukhari Syed Sarmad, Shamim Shahzad M
机构信息
Department of Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan.
Medical College, Aga Khan University, Karachi, Sindh, Pakistan.
出版信息
Surg Neurol Int. 2021 May 10;12:215. doi: 10.25259/SNI_907_2020. eCollection 2021.
BACKGROUND
Lower back pain with radiculopathy due to a disc herniation occurs in about 0.01% of pregnant females. Surgical intervention is seldom required unless there is intractable pain, and for a significant neurological deficit. Further, the use of intraoperative ionizing radiation may adversely affect the developing fetus.
CASE DESCRIPTION
A 25-year-old female, 17-weeks pregnant, presented with right lower extremity sciatica due to a L4-5 unilateral disc herniation. She underwent a microdiscectomy that required just one intraoperative C-arm fluoroscopic image. Postoperatively, her leg pain resolved, and she delivered a healthy baby at term.
CONCLUSION
Using single-image C-arm fluoroscopy in a pregnant female undergoing an emergent lumbar discectomy, employing as low as reasonably achievable/shielding, did not adversely impact the developing fetus.
背景
因椎间盘突出导致的下背痛伴神经根病在约0.01%的怀孕女性中出现。除非存在顽固性疼痛以及明显的神经功能缺损，很少需要手术干预。此外，术中使用电离辐射可能会对发育中的胎儿产生不利影响。
病例描述
一名25岁、怀孕17周的女性因L4-5单侧椎间盘突出出现右下肢坐骨神经痛。她接受了显微椎间盘切除术，术中仅需一张C形臂荧光透视图像。术后，她的腿痛症状缓解，并足月产下一名健康婴儿。
结论
在接受急诊腰椎间盘切除术的怀孕女性中使用单图像C形臂荧光透视，采用合理可行的最低剂量/防护措施，不会对发育中的胎儿产生不利影响。
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