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Catheter-Assisted Interlaminar Approach for cervical Epidural Steroid Injection in Patient with cervical stenosis Caused by Ossification of Posterior Longitudinal Ligament: A Case Report

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Case Reports in Clinical Medicine 2024年第8期13卷 304-308页

作者： Yong-Hui Liu You-Wen Wu Department of Neurosurgery Shin Kong Wu Ho-Su Memorial Hospital Taipei City Department of Psychiatry Shin Kong Wu Ho-Su Memorial Hospital Taipei City

We present the case of a 64-year-old man with cervical ossification of the posterior longitudinal ligament (OPLL) experiencing chronic neck pain and radiculopathy for 6 months. A catheter-assisted interlaminar cervical Epidural Steroid Injection (CESI) was performed under fluoroscopic guidance, targeting the affected C2-C6 levels. Significant improvement was observed after this procedure, with decreased pain scores (visual analogue scale (VAS) 8 to 2) and improved mobility. This technique not only enhances the effectiveness of CESI but also reduces the likelihood of complications such as stroke or epidural hematoma and thus provides an alternative treatment option for patients with multiple stenotic levels who are unsuitable for surgery or are unresponsive to conservative therapy such as medication or physical therapy.

关键词： Catheter-Assisted Interlaminar cervical Epidural Steroid Injection Ossification of Posterior Longitudinal Ligament cervical stenosis

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Vascular stent as a treatment for refractory cervical stenosis

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Chinese Medical Journal 2014年第5期127卷 986-987页

作者： Yang Jie Zhu Lan Lang Jinghe Department of Obstetrics and Gynecology Peking Union Medical College Hospital Chinese Academy of Medical Science Beijing 100730 China

cervical stenosis is a clinical condition involving partial or complete obstruction of the endocervical *** 1996,Bauldauf proposed that the definition of cervical stenosis is a cervical canal into which a 2.5# Hegar dilator cannot be inserted.1 Acquired cervical stenosis can be a complication of surgical procedures such as conization,trachelectomy,and *** is a serious complication because of the clinical repercussions,which can include amenorrhea,hematometra,dysmenorrhea,infertility,infection,and *** surgical techniques are used in dilation and cervix ***,in some cases,unsuccessful dilation with refractory recurrent stenosis may lead to hysterectomy.A successful case in which a self-expanding nitinol vascular stent was used to treat cervical stenosis was described by Grund et al.2 Here we report two additional cases in which vascular stents were used to treat patients with recurrent cervical stenosis after cervical surgeries.

关键词： cervical stenosis vascular stent dilatation cervical leiomyoma conization

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Endometrial squamous cell carcinoma originating from the cervix: A case report

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World Journal of Clinical Cases 2022年第24期10卷 8782-8787页

作者： Xin-Yu Shu Zhang Dai Shuang Zhang Hui-Xia Yang Hui Bi Department of Gynecology and Obstetrics Peking University First HospitalBeijing 100034China Department of Pathology Peking University First HospitalBeijing 100034China

BACKGROUND cervical squamous cell carcinoma(SCC)is the most common type of cervical carcinoma and is generally derived from a precancerous stage called cervical high-grade squamous intraepithelial lesion(HSIL).Usually,the cancer metastasizes through lymphatic or hematogenous dissemination,but rarely spreads upward into the ***,we report a case of cervical HSIL extending into the endometrium and finally progressing to SCC in the uterine *** SUMMARY A 57-year-old postmenopausal woman visited our department and requested a routine cervical *** years ago,she had undergone a cervical loop electrosurgical excision procedure because of HSIL found during the gynecological examination,and she had not been checked again *** time,a relapse of the cervical HSIL was diagnosed along with uterine pyometra and endometrial *** 2 wk of antibiotic treatment,a laparoscopic hysterectomy was performed,and the final pathological examination revealed that the cervical HSIL had spread directly upward into the uterine cavity,gradually developing into cervical SCC in the *** cervical HSIL/SCC can directly spread upward into the uterus with the most common symptoms of pyometra and cervical *** attention should be given to the early detection and prevention of this disease.

关键词： Endometrial squamous cell carcinoma Superficial spreading cervical carcinoma Pyometra cervical stenosis Case report

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Induction of total laparoscopic hysterectomy adopted the marionette technique in peri-menopausal and post-menopausal CIN3 patients

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Laparoscopic, Endoscopic and Robotic Surgery 2022年第1期5卷 15-18页

作者： Tomonori Nagai Kousuke Shigematsu Yuichiro Kizaki Yoshiko Kurose Koki Samejima Takahiro Uotani Taichi Akahori Shigetaka Matsunaga Yasushi Takai Department of Obstetrics and Gynecology Saitama Medical CenterSaitama Medical UniversitySaitama350-8550Japan

Objective:When performing cervical conization in post-menopausal cervical intraepithelial neoplasia 3(CIN3)patients,the positive rate of endocervical cone margin and the incidence of postoperative cervical stenosis *** study summarized a 4-year experience of total laparoscopic hysterectomy as a treatment option for peri-menopausal and post-menopausal CIN3 patients at a single ***,it shared the refinement strategies used during the ***:This study retrospectively analyzed the medical records of CIN3 patient aged45 years and who underwent open or laparoscopic hysterectomy at our institution from January 1,2017 to December 31,***,30 CIN3 patients were enrolled and divided into abdominal hysterectomy group and laparoscopic hysterectomy based on surgery method,with 5 patients and 25 patients ***:Compared to the abdominal hysterectomy group,the perioperative blood loss(20 mL vs.220 mL,p=0.004)was less and the duration of in-hospital stay(7 d vs.11 d,pcervical cone *** intestinal obstructionwas noted in one abdominal hysterectomy patient,no other complications were observed in the remaining ***:Compared to conization,hysterectomy is more invasive;however,it is an acceptable treatment option for peri-menopausal and post-menopausal CIN3 *** such cases,opting for total laparoscopic hysterectomy adopted the marionette technique might be preferable because the procedure is less invasive.

关键词： cervical intraepithelialneoplasia cervical stenosis Total laparoscopic hysterectomy

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