Potential use of spinal canal endoscopy for successful treatment of cauda equina tumour and epidural abscess
Potential use of spinal canal endoscopy for successful treatment of cauda equina tumour and epidural abscess
复制标题
椎管内窥镜成功治疗马尾肿瘤和硬膜外脓肿的潜在用途
DOI：
10.1179/016911107x396899
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
N. Seo
中科院分区：
文献类型：
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作者：
Kouichi Mogi;T. Igarashi;Hideo Suzuki;Y. Hirabayashi;N. Seo
摘要椎管内窥镜是治疗因累及神经根的硬膜外粘连引起的慢性腰腿痛的一种新技术。本文讨论了两名接受骨科手术联合椎管镜检查的患者的病例。在病例1中，患者患有马尾肿瘤，并接受了椎管内窥镜辅助下的肿瘤摘除术。病例2患者患有广泛硬膜外脓肿。他接受了抗生素治疗，并在椎管内窥镜辅助下进行了单节段椎板切除术和引流。在病例1中，磁共振成像无法识别的小肿瘤通过椎管内窥镜进行识别：然后通过S1的右半椎板切除术以及L5和T12的椎板切除术将肿瘤从T12椎体水平部分切除到S1椎体水平。例2采用椎管镜，经单节段椎管内引流和灌洗脓肿。
AbstractSpinal canal endoscopy is recognised as a new technique for treatment of chronic low back and leg pain due to lumbar epidural adhesions involving nerve roots. In this paper, the cases of two patients who received orthopaedic surgery combined with spinal canal endoscopy are discussed. In case 1, the patient had a cauda equina tumour and underwent extirpation of the tumour assisted by spinal canal endoscopy. In case 2, the patient was suffering from extensive epidural abscess. He was treated with antibiotics and underwent single-level laminectomy and drainage assisted by spinal canal endoscopy. In case 1, small tumours that could not be identified by magnetic resonance imaging were identified with spinal canal endoscopy: the tumours were then partially removed from the T12 vertebral level to the S1 vertebral level by right hemilaminectomy of S1, and laminectomy of L5 and T12. In case 2, the use of spinal canal endoscopy enabled drainage and lavage of the wide lesion of the abscess by the single–leve...