在未破裂的大脑动脉瘤手术后,可能对片段和涂层材料有延迟的异物反应
Ryota Tatezawa1, Taku Sugiyama1, Shuho Gotoh1
1Department of Neurosurgery, Hokkaido University Graduate School of Medicine.
Neurologia medico-chirurgica
|August 30, 2023
概括
延迟异体反应很少见,但在大脑动脉瘤手术后可能发生. 棉花涂层是一个可疑的原因,剪贴很少涉及,经常通过类固醇治疗解决.
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:
- 在脑动脉瘤治疗后,外体对手术材料的反应延迟可能发生.
- 目前专注于对片和相关材料的反应的研究是有限的.
研究的目的:
- 调查与未破裂脑动脉瘤手术中使用的片和涂层材料相关的异物反应延迟的发生率和特征.
主要方法:
- 对2327个未破裂的大脑动脉瘤手术的回顾性分析.
- 确定在随访磁共振成像 (MRI) 时出现延迟内反应的患者.
- 对患者人口统计,动脉瘤位置,手术材料,诊断时间,临床表现和MRI发现的审查.
主要成果:
- 12名患者 (0.5%) 发生了延迟的内反应.
- 从手术到诊断的中位时间为4.5个月.
- 用于涂层的棉花碎片在10名患者中被强烈怀疑;仅在2名患者中,片段就涉及到.
- 大多数病变通过类固醇治疗得到解决,但在视神经附近的一个病例需要手术.
结论:
- 棉花材料是脑动脉瘤手术后异物反应延迟的可能原因.
- 片,虽然很少见,也可以诱导这样的反应.
- 类固醇治疗通常是有效的,但建议在视神经等关键结构附近的动脉瘤时谨慎使用.
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