[地雷爆炸脊柱损伤的内镜治疗:3例临床及文献复习]。

A V Esipov, G I Antonov, V A Manukovsky, A B Movsisyan, I I Ivanov, M N Kravtsov, S Yu Timonin
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引用次数: 0

摘要

现代战争的特点是常见的地雷爆炸伤害。最后一种是多发伤,大面积损伤,患者临床状况严重。目的:探讨现代微创内窥镜技术在地雷爆炸脊髓损伤治疗中的应用。材料与方法:作者介绍了3例不同类型地雷爆炸伤的受害者。内镜下从腰椎和颈椎取出碎片在所有病例中都是成功的。讨论:大多数脊柱和脊髓损伤的患者不需要紧急手术,在临床稳定后可以进行手术治疗。同时,微创技术提供了风险最小的手术治疗和早期康复,并降低了与异物相关的感染并发症的风险。结论:仔细选择脊柱视频内窥镜检查患者可确保良好的预后。最小化医源性术后损伤对于合并创伤的患者尤为重要。然而,经验丰富的外科医生应该在专业医疗护理阶段进行这些手术。
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[Endoscopic treatment of mine-explosive spine injuries: 3 clinical cases and literature review].

Modern warfare is characterized by common mine-explosive injuries. The last ones are accompanied by multiple injuries, large area of damage and severe clinical status of victims.

Objective: To demonstrate treatment of mine-explosive spinal injuries using modern minimally invasive endoscopic techniques.

Material and methods: The authors present 3 victims with various mine-explosive injuries. Endoscopic removal of fragments from the lumbar and cervical spine was successful in all cases.

Discussion: Most of victims with injuries of the spine and spinal cord do not require urgent surgery and can underwent surgical treatment after clinical stabilization. At the same time, minimally invasive techniques provide surgical treatment with minimal risk and earlier rehabilitation, as well as reduce the risk of infectious complications associated with foreign bodies.

Conclusion: Careful selection of patients for spinal video endoscopy will ensure positive outcomes. Minimization of iatrogenic postoperative injuries is especially important in patients with combined trauma. However, well-experienced surgeons should perform these procedures at the stage of specialized medical care.

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
75
期刊介绍: Scientific and practical peer-reviewed journal. This publication covers the theoretical, practical and organizational problems of modern neurosurgery, the latest advances in the treatment of various diseases of the central and peripheral nervous system. Founded in 1937. English version of the journal translates from Russian version since #1/2013.
期刊最新文献
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