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題 名 | Small Bowel Perforation Following Lumbar Discectomy--A Report of Two Cases=腰椎間盤切除術引發小腸破裂--二病例報告 |
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作 者 | 閻漢琳; 盧康; 王植熙; 李道真; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 32:4 民88.07-08 |
頁 次 | 頁177-180 |
分類號 | 416.29 |
關鍵詞 | 腰椎間盤切除術; 小腸破裂; Lumbar discectomy; Bowel perforation; |
語 文 | 英文(English) |
中文摘要 | 腰椎間盤切除術引起小腸破裂是一種少見的嚴重併發症。過去十二年來,在超過一千五百例的腰椎間盤切除術中,發生兩例小腸破裂。這二位女性病人因第五腰椎--第一薦椎,椎間盤突出接受手術。術後坐骨神經痛得到明顯改善,但在手術二十四小時內病人發生嚴重的急性腹痛,並有典型腹膜炎表現。胸部X光或腹部電腦斷層檢查顯示有氣腹及腸阻塞。病人接受剖腹探查手術,發現小腸破裂;其中一例併有右側輸尿管斷裂。除此之外脊椎前韌帶也發現破裂。病人經過小腸修補術及輸尿管吻合後得到良好改善,沒有任何後遺症。我們報告此二病例並回顧文獻,討論此併發症的臨床表現、早期診斷、危險因子及如何預防此併發症的發生。 |
英文摘要 | In the past 12 years, over 1500 lumbar discectomies have been performed by our service. During this period, we encounted two cases of bowel perforation following lumbar discectomy. Both of these patients were middle-aged women who underwent discectomy at the lumbosacral junction. Each experienced abdominal pain within one day after the operation. Exploratory laparotomy revealed small bowel perforation in both patients and the perforating holes were primarily closed. Each patient had an uneventful recovery after the laparotomy. In this paper, discuss the predisposing factors and methods of prevention for iatrogenic perforation of the small intestine during lumbar spinal surgery. |
本系統中英文摘要資訊取自各篇刊載內容。