脊髓鞘内泵植入后硬膜外肉芽肿1例报告

Hee Tae Chung, S. C. Park, Byung Gun Kim, Na Eun Kim
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引用次数: 0

摘要

鞘内泵(ITP)是一种用于癌症疼痛和难治性疼痛患者疼痛控制的手术。可能出现导管相关感染、肉芽肿和移位等并发症,因此需要持续治疗。在本例中,由于交通事故后发生的中枢脊髓综合征,进行了ITP插入。由于插入22个月后持续疼痛加剧,进行T-L脊柱计算机断层扫描,确认硬膜外肉芽肿。术后进行肉芽肿切除及ITP修复手术,疼痛控制至今良好。本病例旨在探讨导管相关性肉芽肿的危险因素及评价方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidural Granuloma after Intrathecal Pump Implantation in the Spinal Cord: A Case Report
Intrathecal pump (ITP) is a procedure performed for pain control in patients with cancer pain and refractory pain. Complications such as catheter-related infection, granuloma, and migration may occur, so continuous management is required. In this case, ITP insertion was performed due to central cord syndrome that occurred after a traffic accident. T-L spine computed tomography was performed due to persistent pain exacerbation 22 months after insertion, and epidural granuloma was confirmed. After that, granuloma removal and ITP revision surgery were performed, and pain control has been good so far. The purpose of this case was to investigate the risk factors and evaluation methods for catheter-related granuloma.
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