全内窥镜手术治疗脊柱枪伤:一个小临床系列分析

S. Gizatullin, Z. S. Aliev, A. V. Stanishevsky, A. S. Kristosturov, D. Davydov, I. Onnitsev
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摘要

目标。目的探讨经皮全内窥镜技术治疗脊柱枪伤的疗效。材料和方法。采用经皮全内窥镜对3例脊柱弹片伤进行了治疗。患者采用经皮全内窥镜手术在脊柱的颈椎、胸椎和腰骶段切除异物(金属碎片)。手术无并发症,对软组织和脊柱运动节段的额外损伤最小。在这三种情况下,疼痛综合症的消退形式都是积极的。无感染并发症。经皮全内窥镜成功应用于脊柱盲区弹片伤的手术治疗。结果表明,进一步研究和发展这一领域,以解决在和平时期神经外科医院和脊柱神经外科中心以及战时专科护理阶段将该技术引入治疗枪伤的常规实践的便益性。
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Treatment of gunshot wounds of the spine using full-endoscopic surgery: analysis of a small clinical series
Objective. To assess the effectiveness of the treatment of gunshot wounds of the spine using percutaneous full-endoscopic technique.Material and Methods. Three patients with gunshot shrapnel wounds of the spine were treated using percutaneous full endoscopy.Results. The patients underwent a removal of foreign bodies (metal fragments) at the cervical, thoracic and lumbosacral levels of the spine using percutaneous full endoscopic surgery. The operations were carried out without complications, with minimal additional trauma to soft tissues and the spinal motion segment. In all three cases, there was a positive dynamics in the form of regression of the pain syndrome. There were no infectious complications.Conclusion. The successful use of percutaneous full endoscopy in the surgical treatment of blind shrapnel wounds of the spine is shown. The results indicate the expediency of further research and development of this area to address the issue of introducing the technique into the routine practice of treating gunshot wounds both in peacetime in neurosurgical hospitals and centers of spinal neurosurgery, and in wartime at the stages of specialized care.
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