中脑膜动脉栓塞用于慢性腹腔内血瘤:对35名连续患者的分析

中脑膜动脉栓塞用于慢性腹腔内血瘤:对35名连续患者的分析

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Salvatore Palumbo¹, Kimon Bekelis², Symeone Missios³

¹Neurosurgery, Good Samaritan University Hospital, West Islip, USA.

Cureus

|December 21, 2023

概括

中脑膜动脉栓塞 (MMAE) 是有效的慢性亚皮血瘤 (cSDH),或没有辅助手术排水 (ASD). 只有9%的患者需要进一步干预,没有ASD患者出现复发.

科学领域:

神经外科神经外科
干预性放射学干预性放射学
血管外科血管外科

背景情况:

慢性亚皮血瘤 (cSDH) 可以通过微侵袭性中脑膜动脉栓塞 (MMAE) 治疗.
在科学文献中记录了MMAE在cSDH治疗中的有利结果.
本研究评估了MMAE结果,有或没有辅助手术排水 (ASD),以确定影响结果的变量.

研究的目的:

评估用MMAE治疗cSDH的患者的结局.
为了比较有和没有ASD的MMAE.
确定影响cSDH患者MMAE结果的变量.

主要方法:

对35名连续接受MMAE治疗的cSDH患者的多变量回顾分析.
分析的变量包括年龄,cSDH大小,ASD使用,采集横向性和抗凝剂使用.
仅MMAE和MMAE与ASD组之间的结果比较.

主要成果:

具有自闭症的MMAE (n=20) 和仅有MMAE (n=15) 显示平均cSDH大小减少分别为74%和69%.
在35名患者中,只有3名患者 (9%) 需要进行救援切除术;在接受ASD的20名患者中,没有一个病例复发.
与非抗凝剂使用者 (78-84%) 相比,抗凝剂使用与体型减小的程度略低 (71-74%).

结论:

有或没有ASD的MMAE是一种可行的替代方案或辅助标准手术治疗cSDH.
随后的手术干预率低 (9%) 强调了MMAE的有效性.
需要进一步的前性研究来优化患者选择,并了解cSDH中MMAE的结果变量.

关键词:

慢性皮下血腫 (CSDH) 是一種慢性皮下血腫.血管内治疗 (evt) 的方法中间脑膜关动脉栓塞最少侵入性的治疗方法.复发性皮下血液瘤的复发性皮下血液瘤外科手术排水的使用.

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