在接受外周瘤切除手术的儿童中,持续的手术后水脑的预测因素
Zitao Chen1, Ming Zhou1, Huantao Wen1
1The National Key Clinical Specialty, The Engineering Technology Research Center of Education Ministry of China, Guangdong Provincial Key Laboratory on Brain Function Repair and Regeneration, Department of Neurosurgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Frontiers in neurology
|July 20, 2023
概括
经过周腹瘤切除后儿童持续性水头的预测因素包括手术方法,切除程度和瘤体积. 早期脑脊液 (CSF) 干预对于减少并发症至关重要.
科学领域:
- 儿科神经外科 儿科神经外科
- 在瘤学瘤学.
- 神经学 神经学
背景情况:
- 儿童的周腹瘤可以导致手术后的脑水.
- 脑脊液 (CSF) 的转移是一种常见的干预措施.
研究的目的:
- 确定在儿童周周瘤切除后预测持续性水脑病的因素.
- 评估外科手术期间的CSF干预的必要性和有效性.
主要方法:
- 对117名接受周周结节瘤切除的儿科患者进行了回顾性分析.
- 使用单变量和多变量模型分析人口,放射,外科及处置数据.
主要成果:
- 脑水症的发病率因瘤病理,位置,手术方法,切除程度,瘤体积,手术前的埃文指数和CSF转移而有所不同.
- 独立预测因素包括后部中位接近,部分切除,瘤体积> 90cm3,没有手术前的CSF转移.
结论:
- 后部中位接近,部分切除和巨大的瘤体积 (>90cm3) 没有手术前的CSF转移是持续性水头的独立风险因素.
- 在手术前识别和干预水脑可以防止延迟,并减少持久性水脑和分流手术的发生率.
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