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在为期三天的粘连松解手术中,给药前进行初始硬膜外造影的重要性。

The Importance of Initial Epidurography Prior to Any Drug Administration in Three-Day Adhesiolysis Procedure.

作者信息

Diebels Owen Ray, Baheri Babak, Gios Jens, Dierick Ann, Hans Guy

机构信息

University of Antwerp (UA), Antwerp University Hospital (UZA), Edegem, Belgium.

Department of Anesthesiology and Pain Management, Antwerp University Hospital (UZA), Edegem, Belgium.

出版信息

Int Med Case Rep J. 2022 Nov 3;15:615-620. doi: 10.2147/IMCRJ.S370185. eCollection 2022.

Abstract

Percutaneous epidural adhesiolysis (PEA) is a minimal invasive procedure to relieve sciatalgia caused by post lumbar surgery syndrome (PLSS). Fluoroscopic-guided contrast-epidurography is essential to ensure a safe procedure. We present a case of a 28-year-old male patient who underwent a PEA which was complicated by a dural puncture. We highlight the dangers of such complications and discuss associated risk factors.

摘要

经皮硬膜外粘连松解术(PEA)是一种用于缓解腰椎手术后综合征(PLSS)所致坐骨神经痛的微创手术。在荧光镜引导下进行造影剂硬膜外造影对于确保手术安全至关重要。我们报告一例28岁男性患者,其接受PEA手术时并发硬膜穿刺。我们强调了此类并发症的危险性并讨论了相关危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5bf/9639397/c79526c51892/IMCRJ-15-615-g0001.jpg

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