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经过微创手术后的周周血:神经外科医生关注的问题
Pan Lei1, Zhiyang Li1, Hangyu Wei1
1Department of Neurosurgery, Renmin Hospital of Wuhan University, No. 238, Jiefang Road, Wuchang District, Wuhan City, 430060, Hubei Province, China.
Neurosurgical review
|August 28, 2023
概括
针对深度自发性脑出血 (DSICH) 的神经内镜手术 (NES) 与微创刺痛和排水手术 (MIPDS) 相比,导致脑水较少. 此外,NES还显示了的早期峰值,有助于改善患者的治疗结果.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 医疗成像医学成像
背景情况:
- 深度自发性脑出血 (DSICH) 带来了重大的治疗挑战.
- 微创手术技术越来越多地用于DSICH管理.
- 了解周 hematomal 的演变对于优化治疗策略至关重要.
研究的目的:
- 为了研究DSICH治疗后脑的时间动态.
- 为了比较最小侵入性刺穿和排水手术 (MIPDS) 和神经内镜手术 (NES) 之间的周围血的程度和时间.
主要方法:
- 在2020年1月至2022年6月期间接受治疗的105名DSICH患者的回顾性分析.
- 使用计算机断层扫描图像和3D Slicer软件对 edematous 区域进行定量评估.
- 在MIPDS和NES组之间比较水体积,相对水指数和峰值水时间.
主要成果:
- 与NES组相比,在MIPDS组 (37.36±10.51毫升) 中,术后瘤的峰值体积显著增加.
- 在MIPDS组中,瘤体积的净增加高于16.86±10.01毫升.
- 与MIPDS组 (6-8天) 相比,NES组表现出较早的峰值时间 (3-5天) 和较低的相对指数 (0.86±0.26).
结论:
- 对DSICH的不同微创手术方法导致周围血液的不同模式.
- 与MIPDS相比,神经内镜手术与脑的较低程度和较早解脱有关.
- 虽然MIPDS可能显示出更大的绝对回归率,但回归率在两种方法之间是可比的.
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