对有症状的塔洛夫囊进行干预方法:一个15年的机构经验
Jovanna Tracz1, Brendan F Judy1, Kelly J Jiang1
1Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Journal of neurointerventional surgery
|July 4, 2023
概括
有症状的塔洛夫囊可以引起显著的疼痛和功能障碍. 虽然通过皮肤进行的治疗,如用纤维素粘合剂吸收囊,显示出有希望的结果,但在塔洛夫囊治疗方面,没有一种单一的方法在统计学上优越.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 塔洛夫囊是脑脊液的积聚,影响神经神经根部.
- 症状包括背部疼痛,麻醉,虚弱以及膀/肠道功能障碍.
- 对症状性塔洛夫囊的最佳治疗方法仍在争论中.
研究的目的:
- 评估症状特洛夫囊的治疗方法.
- 确定干预措施与临床结果之间的关联.
- 评估囊吸收的诊断效用.
主要方法:
- 220名患有塔洛夫囊的患者 (2006-2021) 的回顾性图表审查.
- 分析非手术,囊吸收,纤维素注射和其他干预措施.
- 后勤回归以关联治疗,患者特征和结果.
主要成果:
- 43.1%的患者接受了非手术治疗.
- 使用纤维素的CT导向吸收是最常见的干预程序 (74.7%).
- 在接受治疗的患者中,66%的情况有所改善;用纤维素粘合剂吸收显示出最高的改善,尽管在统计学上并不显著.
结论:
- 穿皮治疗亚型与最佳结果没有显著关联.
- 囊吸收,有或没有纤维素,可以帮助确定症状病因.
- 吸收识别基于暂时缓解症状的潜在候选人进行手术干预 (fenestration, imbrication).
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