儿童和成年人的内神经内镜:区别在哪里?
Florian Ebel1, Ladina Greuter1, Luigi Mariani2
1Department of Neurosurgery, University Hospital of Basel, Basel, Switzerland.
World neurosurgery
|June 4, 2023
概括
神经内镜的指示在儿童和成人之间有所不同,但结果相似. 儿童患者需要更多的二次手术,这表明儿童神经外科医生参与成人病例的好处.
科学领域:
- 神经外科 神经外科
- 儿科神经外科 儿科神经外科
- 最少侵入性的手术
背景情况:
- 静脉内神经内镜是所有年龄段的神经外科的一个重要工具.
- 儿科和成人神经内镜手术之间存在有限的比较研究.
- 这项研究旨在比较儿童和成年人的神经内镜.
研究的目的:
- 为了比较儿童和成人患者内神经内镜的指示,结果和并发症率.
- 确定影响儿科神经内镜成功的因素.
- 评估两个队伍中对二次手术的需要.
主要方法:
- 从2010年至2020年进行内神经内镜检查的132名患者的回顾性分析.
- 患者被分为儿科 (<18岁) 和成人 (≥18岁) 队列.
- 分析的数据包括指示,临床结果,并发症率和二次手术率.
主要成果:
- 适应症不同:儿童瘤 (23.4%) 与成人 (40%) 水道狭窄.
- 临床结果相似:儿童有90.5%的改善/没有变化,成年人有92.1%.
- 儿科患者的二次手术发生率较高 (38.3%对17.6%),过渡性和永久性并发症的发生率相似.
结论:
- 神经内镜的指示在儿科和成人群体之间有显著差异.
- 长期的临床结果相似,但儿科患者,特别是婴儿,需要更多的重复手术.
- 在成人病例中涉及小儿神经外科医生可能会改善结果并减少并发症.
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