Unintended dural tear(DT)is not an infrequent complication of biportal percutaneous endoscopic spinal surgery(BESS).DT manifests in neurological deficits,including seizure,headache,and intracranial hemorrhage.Meanwhil...Unintended dural tear(DT)is not an infrequent complication of biportal percutaneous endoscopic spinal surgery(BESS).DT manifests in neurological deficits,including seizure,headache,and intracranial hemorrhage.Meanwhile,DT may be a risk of emergence agitation(EA)after BESS,which has not yet been reported.We presented a case of a 55-year-old man with L5-S1 intervertebral disc herniation receiving BESS under general anesthesia.A DT about 3-4 mm occurred during the operation,and was repaired immediately.The patient presented EA shouting for a headache after the surgery in post anesthesia care unit(PACU).Sedative agents(midazolam,propofol and dexmedetomidine)were used,only continuously infusion of dexmedetomidine for about 4 h successfully improved EA in PACU.He had no neurologic deficits in following 3 months.This case report highlights the risk of EA when a DT occurs during BESS.Adequate sedation in early phase is critical to resolve the mass effect caused by EA.展开更多
Objective:Objective to explore the curative effect of transforaminal endoscopic surgery in the treatment of lumbar disc herniation.Methods:From October 2018 to October 2020,36 patients with lumbar disc herniation were...Objective:Objective to explore the curative effect of transforaminal endoscopic surgery in the treatment of lumbar disc herniation.Methods:From October 2018 to October 2020,36 patients with lumbar disc herniation were randomly divided into group A and group B.the curative effect,pain,lumbar function and quality of life were analyzed.Results:The curative effect of group A was 94.44%,better than that of group B 61.11%,P<0.05;The visual analogue scale(VAS)of group A was lower than that of group B on 3D,5D and 7d after operation(P<0.05);The KSS of group A was higher than that of group B(P<0.05);The score of quality of life in group A was better than that in group B(P<0.05).Conclusion:Lumbar disc herniation patients underwent transforaminal endoscopic surgery,the effect is good,can improve lumbar function,relieve pain,improve the quality of life of patients.展开更多
文摘Unintended dural tear(DT)is not an infrequent complication of biportal percutaneous endoscopic spinal surgery(BESS).DT manifests in neurological deficits,including seizure,headache,and intracranial hemorrhage.Meanwhile,DT may be a risk of emergence agitation(EA)after BESS,which has not yet been reported.We presented a case of a 55-year-old man with L5-S1 intervertebral disc herniation receiving BESS under general anesthesia.A DT about 3-4 mm occurred during the operation,and was repaired immediately.The patient presented EA shouting for a headache after the surgery in post anesthesia care unit(PACU).Sedative agents(midazolam,propofol and dexmedetomidine)were used,only continuously infusion of dexmedetomidine for about 4 h successfully improved EA in PACU.He had no neurologic deficits in following 3 months.This case report highlights the risk of EA when a DT occurs during BESS.Adequate sedation in early phase is critical to resolve the mass effect caused by EA.
文摘Objective:Objective to explore the curative effect of transforaminal endoscopic surgery in the treatment of lumbar disc herniation.Methods:From October 2018 to October 2020,36 patients with lumbar disc herniation were randomly divided into group A and group B.the curative effect,pain,lumbar function and quality of life were analyzed.Results:The curative effect of group A was 94.44%,better than that of group B 61.11%,P<0.05;The visual analogue scale(VAS)of group A was lower than that of group B on 3D,5D and 7d after operation(P<0.05);The KSS of group A was higher than that of group B(P<0.05);The score of quality of life in group A was better than that in group B(P<0.05).Conclusion:Lumbar disc herniation patients underwent transforaminal endoscopic surgery,the effect is good,can improve lumbar function,relieve pain,improve the quality of life of patients.
