对于腰椎神经 Schwannomas 的最小侵入性方法
Federico Landriel1, Fernando Padilla Lichtenberger1, Alfredo Guiroy2
1Neurosurgical Department, Spine Unit, Hospital Italiano de Buenos Aires, Buenos Aires , Argentina.
Operative neurosurgery (Hagerstown, Md.)
|October 13, 2023
概括
使用管状收缩器的最小侵入性手术 (MIS) 提供了一种安全有效的方法来切除腰部神经 schwannomas (LSPSs). 这些技术表明,在短期住院期间,总体切除率很高.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 最少侵入性的手术
背景情况:
- 脊椎神经 schwannomas (LSPSs) 是一种良性神经瘤.
- 有症状的LSPS通常需要手术干预.
- 传统的开放方法会带来严重并发症的风险.
研究的目的:
- 评估LSPS切除的微创手术 (MIS) 的疗效和安全性.
- 描述基于瘤位置的三种不同的MIS管状收缩器方法.
- 将MIS结果与传统的外科手术方法进行比较.
主要方法:
- 一个多中心的,回顾性的观察性队列研究.
- 包括23例腰部和上部交叉骨 schwannomas.
- 收集关于临床表现,手术细节和结果的数据.
主要成果:
- 使用了后斜,横斜和过的方法.
- 平均手术时间为3.3小时;平均住院时间为2.5天.
- 91.3%的患者在不需要仪器的情况下实现了总体切除.
结论:
- MIS管状方法是安全和有效的,用于逆皮骨LSPS切除.
- 这些技术可以提高外科医生的舒适度,改善患者的治疗结果.
- 根据病变水平定制MIS方法,优化了外科手术的安全性和有效性.
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