电邮这篇文章 慢性食管瘘作为继发性胸椎骨髓炎的罕见病因
- 作者: Zarya V.A.1, Gavrilov P.V.1, Makogonova M.E.1, Kozak A.R.1, Vishnevskiy A.A.1
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隶属关系:
- Saint-Petersburg State Research Institute of Phthisiopulmonology
- 期: 卷 4, 编号 3 (2023)
- 页面: 403-410
- 栏目: 临床病例及临床病例的系列
- URL: https://journals.rcsi.science/DD/article/view/254078
- DOI: https://doi.org/10.17816/DD430128
- ID: 254078
如何引用文章
详细
脊柱感染性疾病是由于血源性、淋巴原性或接触性感染（包括手术并发症）引起的器官及其结构元素的炎症性破坏性疾病。在进行诊断时，对病史、临床表现以及实验室检查和放射诊断数据进行评估极为重要。
本文介绍一例因食管瘘引起的ThVII-ThVIII椎骨继发性脊椎炎的临床病例。在最初诊断时，医生认为脊椎炎与脊髓麻醉有关，而脊髓麻醉是在发病前6个月进行的，因为腰部皮肤上有瘘管缺损。这次在居住地的外科医院进行了三次手术治疗。医生最初并没有考虑到内窥镜检查结果以及病人关于进食、疼痛和瘘管分泌物性质之间关系的主诉。在额外检查的帮助下，包括口服造影剂的食道CT扫描和瘘管CT造影，确定了食管瘘的主要诊断，而胸椎脊椎炎只是次要并发症。
因此，在存在背痛的原因不仅是感染，还可能是手术治疗的并发症的情况下，最终诊断应该是在与其他脊柱疾病进行鉴别诊断后再做出的。
作者简介
Valeriya A. Zarya
Saint-Petersburg State Research Institute of Phthisiopulmonology
Email: zariandra@mail.ru
ORCID iD: 0000-0001-7956-3719
俄罗斯联邦, Saint Petersburg
Pavel V. Gavrilov
Saint-Petersburg State Research Institute of Phthisiopulmonology
编辑信件的主要联系方式.
Email: spbniifrentgen@mail.ru
ORCID iD: 0000-0003-3251-4084
SPIN 代码: 7824-5374
MD, Cand. Sci. (Med.)
俄罗斯联邦, Saint PetersburgMarina E. Makogonova
Saint-Petersburg State Research Institute of Phthisiopulmonology
Email: MakogonovaME@gmail.com
ORCID iD: 0000-0001-6760-2426
SPIN 代码: 6342-8967
MD, Cand. Sci. (Med.)
俄罗斯联邦, Saint PetersburgAndrey R. Kozak
Saint-Petersburg State Research Institute of Phthisiopulmonology
Email: andrkozak@mail.ru
ORCID iD: 0000-0002-3192-1430
MD, Cand. Sci. (Med.)
俄罗斯联邦, Saint PetersburgArkadiy A. Vishnevskiy
Saint-Petersburg State Research Institute of Phthisiopulmonology
Email: vichnevsky@mail.ru
ORCID iD: 0000-0002-9186-6461
SPIN 代码: 4918-1046
MD, Dr. Sci. (Med.)
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