沟通脑水和三维体积的非可编程避难道:一个回顾性分析
Jeroen Cortier1, Robin Van Der Straeten2, Frederick Van Gestel2
1Universitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (VUB), Brussels, Belgium; AZ Maria Middelares, Ghent, Belgium.
World neurosurgery
|July 2, 2023
概括
非可编程门 (NPV) 显示了可比的突变修订率和临床结果,用于传达头 (cHC). 观察到心室体积减少,但与临床改善无关.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 医疗器械 医疗器械
背景情况:
- 沟通水症 (cHC) 治疗缺乏关于最佳冲动门类型的共识.
- 非可编程 (NPV) 是一个常见的选择,但它们的有效性需要进一步评估.
研究的目的:
- 为了评估初级非可编程 (NPV) 放置在与沟通头症 (cHC) 的患者的结果.
主要方法:
- 在2014年至2020年期间,对41名首次接受cHCNPV植入的患者进行了回顾性分析.
- 评估修订率,临床结果 (修改的兰金尺度 - mRS) 和放射性变化 (埃文斯指数 - EI,通过3D细分的腹腔体积 - vv-3DSAS).
主要成果:
- 总体而言,与分流相关的修订率为17.1%.
- 68.3%的患者在mRS上表现出1个或更多点的改善.
- 观察到心室体积显著减少,但mRS的改善与这种放射性变化无关.
结论:
- 对于cHC中的NPV的结果与现有文献相比较,这些文献涉及顺位修订和临床/放射性结果.
- 使用vv-3DSAS进行心室体积评估是检测cHC患者微妙体积变化的可行方法.
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