动脉瘤下皮质血瘤:一个系统性审查
Mohammad Aladawi1, Mohamed Elfil1, Zaid R Najdawi1
1Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, USA.
Neurocritical care
|February 9, 2024
概括
动脉膜下皮质血瘤 (aSDH) 是罕见的,但与糟糕的结果相关,特别是当与动脉膜下关节出血 (aSAH) 发生时. 手术干预可以改善患者的治疗结果.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 动脉瘤下硬质血瘤 (aSDH) 是动脉瘤破裂的一种罕见并发症,发生在0.5-7.9%的动脉瘤下arachnoid出血 (aSAH) 患者中.
- 关于SDH患者的临床表现,病程和结果的数据有限.
研究的目的:
- 系统地审查有关SDH患者的人口统计,临床表现,动脉瘤位置,治疗和治疗结果的文献.
- 为了比较aSDH患者与aSAH并发或不并发之间的结果.
主要方法:
- 按照PRISMA指南对PubMed,EMBASE和谷歌学者进行系统审查.
- 提取有关患者人口统计,临床表现,成像,手术干预和结果的数据.
- 使用千平方和逻辑回归分析,在不同组之间对结果,手术治疗需求和动脉瘤位置的统计比较.
主要成果:
- 确定了112篇文章,共计270名患者 (70%为女性,平均年龄为52.8岁).
- 中脑动脉动脉瘤是最常见的.
- 孤立的aSDH患者比aSAH患者 (6%) 恢复得更好 (38%).
- aSAH的存在增加了不利结果的几率 (OR 2.68).
- 在无变量分析中,手术治疗与不良结果呈反向关联.
结论:
- aSDH是罕见的,但它与aSAH同时发生会导致不良结果.
- 手术治疗与减少不良结果的发生率有关,包括死亡和严重残疾.
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