隐性脊柱裂孕妇剖宫产的麻醉管理：一例病例报告及文献综述
Anesthesia management for cesarean section in pregnant women with occult spina bifida: A case report and literature review.
作者信息
Yang Li, Li Chunjing
机构信息
Surgical Anesthesiology Department, Qufu City Maternal and Child Health Care and Family Planning Service Center, Qufu, China.
Obstetrics and Gynecology Department, Qufu City Maternal and Child Health Care and Family Planning Service Center, Qufu, China.
出版信息
Int J Surg Case Rep. 2025 Jun;131:111319. doi: 10.1016/j.ijscr.2025.111319. Epub 2025 Apr 21.
INTRODUCTION
This study aims to examine the anesthetic management strategies and perioperative considerations for a pregnant woman with occult spina bifida undergoing a cesarean section with spinal anesthesia.
PRESENTATION OF CASE
We conducted a retrospective analysis of the clinical data from a 26-year-old first-time mother with occult spina bifida who had a cesarean delivery under spinal anesthesia. Additionally, we reviewed the literature on how occult spina bifida affects spinal anesthesia and the related management strategies.
DISCUSSION
The anesthesia was effective, the surgery was successful, and both the mother and infant experienced positive outcomes without any neurological complications.
CONCLUSION
Occult spina bifida does not completely rule out the use of spinal anesthesia; however, careful preoperative assessment of spinal anatomy, refinement of puncture techniques, and thorough postoperative follow-up are crucial.
引言
本研究旨在探讨一名患有隐性脊柱裂的孕妇在接受腰麻剖宫产手术时的麻醉管理策略及围手术期注意事项。
病例介绍
我们对一名26岁首次怀孕且患有隐性脊柱裂的产妇在腰麻下行剖宫产手术的临床资料进行了回顾性分析。此外，我们还查阅了有关隐性脊柱裂如何影响腰麻及相关管理策略的文献。
讨论
麻醉效果良好，手术成功，母婴均取得了良好的结局，无任何神经并发症。
结论
隐性脊柱裂并不完全排除使用腰麻；然而，术前仔细评估脊柱解剖结构、改进穿刺技术以及术后进行全面的随访至关重要。
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