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題 名 | Acute Postoperative Aggravation of Radiculopathy as a Complication of Free Fat Transplantation in Lumbar Disc Surgery: Case Report=手術後急性神經根病變惡化--腰椎椎間盤手術中應用脂肪移植引起之合併症:病例報告 |
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作 者 | 莊太元; 陳文哲; 陳力輝; 牛自健; 施俊雄; | 書刊名 | 長庚醫學 |
卷 期 | 22:3 1999.09[民88.09] |
頁 次 | 頁498-502 |
分類號 | 416.61 |
關鍵詞 | 脂肪組織; 移植; 神經壓迫症候; 手術後合併症; 椎間盤手術; Adipose tissue; Transplantation; Nerve compression syndrome; Postoperative complications; Intervertebral disk displacement; |
語 文 | 英文(English) |
中文摘要 | 這份病例報告提出一個罕見的病例,是由脂肪移植造成的神經缺損,而導致肢體 無力。這個病人是40歲女性,經過腰椎椎間盤手術之後,發生右下肢無力的症狀。從影像 學及手術中的發現是脂肪疝突所造成,經再次手術之後,症狀有明顯的改善。核磁共振攝影 是診斷脂肪疝突的好方法。此報告說明此種合併症的機轉以及如何診斷和防止其發生,其中 脂肪移植的大小扮演重要的角色。雖然應用脂肪移植術有許多好處,包括防止硬膜上纖維化 的發生,但是應用上必須謹慎。如果有手術引起的神經缺損,脂肪的疝突也有可能是原因之 一。對此種合併症而言,緊急手術是必要的。 |
英文摘要 | This case report illustrates a rare case of moter weakness caused by a free fat graft herniation. A 40-year-old woman who had undergone surgery for a herniated lumbar intervertebral disc experienced right lower leg weakness. On magnetic resonance image (MRI) a herniated free fat graft was noted. An emergent operation was performed and the herniated fat graft was removed. Postoperatively, the patient recovered well with improvement of the motor weakness. MRI is a good method for diagnosis of fat graft herniation. The mechanisms of this complication have been documented, and the size of the fat graft plays an important role. The methods for prevention of this herniation are also discussed. Although the transplantation of adipose tissue has many advantages, including the preventing of postoperative epidural fibrosis, great care is needed when applying a fat graft intra-operatively. When a postoperative neurologic deficit develops, herniation of the fat graft must be considered. An emergent operation is the treatment of choice for this particular complication. |
本系統中英文摘要資訊取自各篇刊載內容。