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2013 -CE MAI FACE
NEUROCHIRURGIA PITESTEANA?
Dr. George Mihalache
Medic primar neurochirurg
Culegerea de date
• Protocoale operatorii
• Foi de observație
• Registrul blocului operator in perioada ianuarie 2013-
septembrie 2013
• Mențiune: 4 saptamani concediu mai-iunie (ex. primariat)
• 2 saptamani concediu de odihna iulie
• Prezentarea prezintă activitatea pe 36-6 = 30 de
saptamani lucrătoare
Patologie tratata
• Abces paravertebral
• Chist arahnoidian
• Chist Tarlov
• Drenaj ventricular extern
• Hidrocefalie interna
• Fractura craniana
• Fractura vertebrala
• HDL
• Stenoza de canal
• Hematom epidural
Patologie tratata
Higroma subdurala, hematom subdural
Hematom intraparenchimatos
Meningiom
Tumora cerebrala maligna
Tumora craniana
Neuropatie periferica (canal carpian,n.ulnar la nivelul
cotului, SPE la genunchi)
Patologie tratata
• Total : 213 operații/30 saptamani (medie 7
intervenții/saptamana)
• Patologia cea mai frecventa:
• Hernia de disc lombara : 119 cazuri (reunite HDL2-
L3, L3-L4, L4-L5,L5-S1)
• Tumori : 22 cazuri
• Stenozele de canal lombar : 15 cazuri
• Hematoamele subdurale : 7 cazuri
• Traumatisme vertebromedulare cervicale : 5
Distribuție pe patologie
13422
31
26
Patologie
Degenerativa
Tumorala
Traumatica
Altele
Distributia patologiei
HDL, 119
Hematoame,
14
Tumori, 22
Stenoze de
canal, 15
TV-TVM, 12
Altele, 26
Distributia patologiei
HDL
58%
Hematoame
7%
Tumori
10%
Stenoze de
canal
7%
TV-TVM
6%
Altele
12%
Patologie
Distributia numarului de cazuri pe luni
0
10
20
30
40
Categoria 1
30
21
36
25
28
6
26
28
13
septembrie
august
iulie
iunie
mai
aprilie
martie
februarie
ianuarie
In concluzie
• Tumorala 15%
• Traumatica 15%
• Disco-denerativa 2/3
• Altele
• Nu tratam malformatii vasculare (lipsa angiograf si
materiale chirurgicale—clipuri vasculare+instrumentar)
VA MULTUMESC!

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2013 -CE MAI FACE NEUROCHIRURGIA PITESTEANA