在患有骨突症的患者中,心室隆起的发生率
Baihui Liu1, Jun Li, Songchunyuan Zhang
1Shanghai Key Laboratory of Birth Defect, Key Laboratory of Neonatal Disease, Department of Pediatric Surgery, Children's Hospital of Fudan University, Shanghai, China.
The Journal of craniofacial surgery
|November 13, 2023
概括
腹腔大,或腹腔扩大,是常见的骨髓缩症 (CS) 患者,影响近一半的综合征病例. 早期的外科干预可能有助于在CS患者中管理这种情况.
科学领域:
- 神经外科 神经外科
- 儿科神经外科 儿科神经外科
- 放射学 放射学是一门学科.
背景情况:
- 头骨突症 (CS) 是一种疾病,涉及到头骨部的过早融合.
- 在CS患者中不一致报告的特征是腹腔巨的水脑,在CS患者中不一致报告.
- 在综合征性和非综合征性CS中,腹腔大脑病变的患病率需要进一步调查.
研究的目的:
- 为了确定患有综合征和非综合征性骨突起症的患者中心室壮胀的频率.
- 评估CS亚型与心室扩大存在的关系.
- 评估心脏病患者中心室巨化病的临床影响.
主要方法:
- 对169名手术前关突症患者的回顾性分析.
- 从薄截面计算机断层扫描测量埃文斯指数 (EI),以量化大脑心室体积.
- 室腔扩大作为EI>0.3.3的定义.
主要成果:
- 在46.0%的综合性CS患者 (17/37) 中观察到心室隆起 (EI>0.3).
- 在患有心室隆起症的综合性CS患者中,4需要在头骨重塑之前进行内高血压干预.
- 在非综合征性CS患者中,19.7%的患者出现了心室积血病 (26/132).
结论:
- 腹腔大是骨突症患者的常见发现,无论其综合征状况如何.
- 与非综合性CS相比,综合性CS的患病率明显高于非综合性CS.
- 早期的手术干预,如切除术,可能有助于控制CS患者的腹腔扩张.
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