睡眠-清醒-睡眠与低度质瘤手术的催眠:长期随访结果
Nourou Dine Adeniran Bankole1, Ulrick Sidney Kanmounye2, Abdessamad El Ouahabi3
1CHRU de Tours, Neurosurgery Department, Tours, France; CHU Ibn Sina, Neurosurgery Department, Mohammed V University of Rabat, Morocco; Clinical Investigation Center (CIC), 1415, INSERM, CHRU de Tours, Tours, France.
Neuro-Chirurgie
|September 15, 2023
概括
催眠辅助的头骨切除术与标准的睡眠-清醒-睡眠手术相比,提供了类似的质瘤瘤预后和切除程度. 这种技术是低度质瘤 (LGGs) 的可行的替代方案.
科学领域:
- 神经外科 神经外科
- 麻醉学 麻醉学
- 在瘤学瘤学.
背景情况:
- 催眠辅助切除术是一种安全的替代标准的睡眠-清醒-睡眠 (AAA) 手术用于质瘤的去除.
- 催眠与标准镇静对质瘤预后的比较影响仍未评估.
研究的目的:
- 评估催眠与标准镇静对质瘤清醒骨切割术术术后后果的影响.
- 为了比较催眠辅助切除术与标准AAA手术在质瘤手术中的疗效.
主要方法:
- 分析了患有扩散性结质瘤 (不包括结质母细胞瘤) 的成年患者,他们接受了清醒手术.
- 推理统计分析包括皮尔森奇平方,费舍尔精确和曼-惠特尼U测试.
- 包括61名患有IDH突变瘤的患者 (31名女性,平均年龄41.8岁).
主要成果:
- 在催眠治疗 (11.48%) 和标准AAA (8.20%) 组之间的切除程度上没有发现显著差异.
- 整体生存率相似,AAA的9年生存率为87.5%,催眠的79%.
- 该研究发现,这两种麻醉技术之间的结果没有显著差异.
结论:
- 催眠在清醒状态下进行切除术是一种适合的替代方法,可以替代低度质瘤 (LGGs) 的标准镇静.
- 切除程度和患者存活率的类似结果支持催眠作为一个可行的选择.
- 催眠辅助的头骨切除术未得到充分利用,但对于LGG治疗是有效的.
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