全球趋势和决策在管理状囊的管理
Pramath Kakodkar1, Malavan Ragulojan2, Lamia Hayawi3
1Pathology and Laboratory Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
概括
在无症状儿童中,中骨 (MCF) 状囊通常通过非手术的方式进行管理. 对于MCF状囊的外科干预是针对焦点缺陷或 papilledema,根据外科医生培训地点有所不同.
科学领域:
- 儿科神经外科 儿科神经外科
- 神经成像是一种神经成像.
- 囊性脑损伤 囊性脑损伤
背景情况:
- 中间沟 (MCF) 间状囊经常在儿科患者中偶然发现.
- 这些囊的管理策略在临床医生之间有很大的差异.
研究的目的:
- 对国际神经外科医生进行调查,了解他们对儿科MCF状囊的治疗偏好.
- 在各种临床场景中确定手术干预的门.
主要方法:
- 一项基于网络的调查通过CPNSG和ISPN邮件列表分发给儿科神经外科医生.
- 该调查包括8个临床情景,包括患有MCF状囊的儿科患者.
- 用统计软件分析了受访者的人口统计和管理决策.
主要成果:
- 无症状囊和在诊断时的年龄较小主要是通过非手术方式进行管理的.
- 放射性进展,头痛,新的发作或出血导致分裂的管理方法.
- 焦点缺陷,如半衰和乳头炎,是手术干预的强有力的指标.
结论:
- 对于偶发的儿科MCF状囊,非手术治疗是标准的,特别是在年轻的无症状患者中.
- 对于管理放射性进展或非焦点缺陷的囊存在不确定性.
- 焦点神经缺陷和乳头炎是手术的关键症状,受外科医生培训地点的影响.
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