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多学科的护理改善了患有状体偏瘤的患者的治疗结果-UCLA的经验
Kirsten Wong1, Kenric Tam1,2, Eric K Tran1
1David Geffen School of Medicine University of California Los Angeles California USA.
Laryngoscope investigative otolaryngology
|October 30, 2023
概括
对于动脉体瘤 (CBT) 的多学科手术方法显示出有利的结果. 一种结合血管和耳鼻喉治疗方法在较大的瘤中减少了头骨神经缺陷.
科学领域:
- 手术瘤学手术瘤学
- 血管外科 血管外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 动脉体瘤 (CBT) 是一种罕见的神经内分泌瘤,来自动脉体.
- 对CBT的管理策略各不相同,手术切除是主要的治疗方式.
研究的目的:
- 评估多学科手术方法在治疗动脉瘤 (CBT) 的有效性和结果.
主要方法:
- 一项回顾性单中心研究分析了75名患者,他们在1998年至2020年期间接受了79次CBT切除术.
- 外科子专业包括血管外科,耳鼻喉科头部外科医生 (OHNS),以及OHNS和血管方法的结合.
- 使用SPSS v27和Excel进行了统计分析.
主要成果:
- 与单个专业 (30-31mm) 相比,联合OHNS和血管病例 (38mm) 的瘤大小更大.
- 估计的血液损失 (EBL) 在综合病例 (301mL) 与单个专业 (124-203mL) 中较高.
- 手术后的头骨神经缺陷发生在7.8%的病例中,与单个专业相比,OHNS/血管病例的联合发病率 (4.0%) 较低 (5.3%-12.1%).
结论:
- 单一的外科专业可以有效地管理可比结果的CBT.
- 对于更大,更高等级的瘤,联合血管和OHNS方法导致术后头骨神经损伤减少,尽管失血增加.
- 多学科的外科管理似乎有利于复杂的CBT切除,可能减少神经复杂症.
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