定位分流辅助裂口心室综合征的位置分流辅助
Lee Azolai1, Shlomi Constantini1, Lahav Constantini1
1Department of Pediatric Neurosurgery, Dana Children's Hospital, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel.
概括
添加定位冲刺辅助器 (SA) 改善了裂心综合征 (SVS) 的儿童的症状,减少了医院访问和进一步手术的需要. 这为这种具有挑战性的疾病提供了有前途的治疗选择.
科学领域:
- 儿科神经外科 儿科神经外科
- 脑水管管理 脑水管管理
- 医疗器械技术 医疗器械技术
背景情况:
- 裂腔心室综合征 (SVS) 是水头发症儿童经常出现的头痛的常见原因.
- 在儿童神经外科手术中,SVS是一个重大的治疗挑战.
- 现有的SVS治疗方法存在局限性,需要新的方法.
研究的目的:
- 评估在管理SVS.中添加定位冲刺辅助 (SA) 装置的有效性.
- 介绍在被诊断为SVS的儿科患者中SA的临床经验.
- 评估SA对患者结果和医疗保健利用的影响.
主要方法:
- 追溯收集了SA治疗SVS的儿科患者的临床数据.
- 评估手术和临床结果,包括医院访问和需要额外的手术.
- 在SA安置之前和之后6个月的患者结果的比较.
主要成果:
- 包括9例患有SVS的儿科病例,其中包括IVH,感染后和先天性综合征.
- 在SA安置后,平均住院次数显著下降,从每名患者的2.4个减少到0.6个 (p < 0.0002).
- 在SA后6个月观察到腰部穿刺或分流修订的需求减少,在最后一次随访时整体神经外科手术过程中没有显著差异.
结论:
- 在大多数儿科SVS病例中,使用分流辅助 (SA) 设备与短期症状改善有关.
- 沙特亚洲显示,住院次数显著减少,并且需要进行与SVS相关的手术.
- 在儿童神经外科手术中,定位突变辅助提供了一种可行的选择,用于管理裂隙心室综合征.
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