- 期刊
Percutaneous Catheter Drainage Following Inadequate Surgical Treatment for Complicated Pott's Disease - A Case Report
經皮導管引流治療外科手術術後之複雜的脊椎結核病變—病例報告
並列摘要
We herein report the case of a 22-year-old woman who presented with a tender, enlarging, soft tissue mass and intractable lower back pain. Image studies revealed diffused bilateral multiloculated iliopsoas abscesses associated with L3~4 destruction. Surgery through a left-sided retroperitoneal approach and anti-tuberculosis medication were administered to treat the proven pathology. Owing to inadequate surgical debridement using a one-sided approach, low back pain recurred and a huge residual right iliopsoas abscess was found two months later. Instead of another extensive surgical intervention, percutaneous catheter drainage was performed to treat this sequelae, followed by 12 months of anti-tuberculosis chemotherapy. No clinical or radiological relapse occurred after 24 months of follow-up.
延伸閱讀
- 胡籃月、林志諺、陳瓊汝、施勇綸（2023）。實驗室診斷脊椎結核併發神經性缺陷之病例報告。台灣醫檢雜誌，38(1)，21-23。https://www.airitilibrary.com/Article/Detail?DocID=P20190523001-N202304130007-00004
- Wu, C. M., Tu, M. Y., Chang, K. I., Fu, C. Y., & Cheng, C. T. (2008). 從脊椎後側進行清創術，前位網狀鈦金屬椎體護架置入術，及後位鋼釘內固定術，以一次手術來治療結核性胸椎炎：一病例報告. Journal of Orthopaedic Surgery Taiwan, 25(4), 170-174. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200812-25-4-170-174-a
- Huang, S. H., Lee, S. C., & Liaw, W. J. (2002). 胸腺瘤切除後接受脊髓硬膜上止病術產生之完全性房室阻斷：病例報告. 中華民國急救加護醫學會雜誌, 13(3), 126-132. https://doi.org/10.30018/JECCM.200209.0005
- Chiang, Y. F., Chen, H. M., & Tsuang, Y. H. (2006). 手術治療結核脊椎骨髓炎. 北市醫學雜誌, 3(8), 798-807. https://doi.org/10.6200/TCMJ.2006.3.8.06
- Chen, W. J., Huang, T. J., Chen, J. Y., & Shih, C. H. (1990). 脊間孔外腰椎間盤突出病的外科治療 － 四病例報告. Journal of Orthopaedic Surgery Taiwan, 7(4), 231-236. https://www.airitilibrary.com/Article/Detail?DocID=10116923-199012-7-4-231-236-a