儿科脊柱动脉瘤骨囊的手术治疗:患者系列
Benjamin E Flyer1,2, Erik B Vanstrum3, Nicholas Chapman1
11Division of Neurosurgery, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, California.
Journal of neurosurgery. Case lessons
|January 22, 2024
概括
儿童脊柱动脉瘤骨囊 (ABCs) 的手术治疗,使用内损伤切和脊柱融合是有效的. 虽然复发发生在23.5%的病例中,但长期随访对于监测结果至关重要.
科学领域:
- 儿科整形外科 儿科整形外科
- 手术瘤学手术瘤学
- 脊柱外科手术 脊柱外科手术
背景情况:
- 动脉瘤骨囊 (ABC) 是一种罕见的,血管骨解性骨病变,主要影响儿童.
- 脊柱ABC在儿科患者群体中存在独特的挑战.
- 这项研究审查了儿科脊柱ABC的临床病理学数据.
研究的目的:
- 评估儿科脊柱ABC的临床和病理特征.
- 评估儿童脊柱ABC手术干预的有效性.
- 为了确定复发率和长期结果.
主要方法:
- 经过活检证明的脊柱ABCs (1998-2018) 的儿科患者的回顾性审查.
- 对出现症状,手术程序,辅助疗法和结果的分析.
- 评估复发,重新手术和长期无病状态.
主要成果:
- 确定了17名儿科患者 (平均年龄为10.4岁).
- 疼痛和下肢虚弱是常见的症状.
- 在大多数病例中,用脊髓融合进行了内脉切割;23.5%的病例复发.
结论:
- 脊柱融合的内脉切割是儿科脊柱ABC的有效治疗方法.
- 长期监测对于检测潜在的复发至关重要.
- 手术管理可以带来无疾病的结果,并进行适当的随访.
关键词:
GTR = 总体切除 = 总体切除ABC = 动脉瘤骨囊 = 动脉瘤骨囊CM = 卡尔西尼 - 甲基普雷迪尼索隆CT = 计算机断层扫描EBL = 估计的血液损失.MR = 磁共振 (MRI) = 磁共振 (MR) = 磁共振 (MR) = 磁共振 (MR) = 磁共振 (MR) = 磁共振 (MR) = 磁共振 (MR)选择性动脉栓塞 (SAE) =选择性动脉栓塞STR = 部分整体切除动脉瘤骨囊 动脉瘤骨囊选择性动脉栓塞是一种选择性动脉栓塞.脊柱 脊柱 脊柱 脊柱 脊柱稳定 稳定 稳定 稳定瘤的复发 瘤的复发更多相关视频
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