血管内和手术治疗导致脉动性耳的西格突分离体:系统性审查
Anvitha Sathya1, Thanh N Nguyen1,2,3, Piers Klein1
1Department of Radiology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
概括
对导致脉动性耳 (PT) 的sigmoid sinus diverticulum (SSD) 的内血管治疗显示出比手术更高的有效性和安全性. 需要进一步的比较研究来证实SSD管理的这些发现.
科学领域:
- 血管外科 血管外科
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 西格鼻分泌管 (SSD) 是一个越来越多地被认可的脉动性耳声 (PT) 的原因.
- 目前的治疗选择包括内血管和外科手术.
- 对于SSD的最佳治疗方式缺乏共识.
研究的目的:
- 系统地审查和比较SSD的内血管治疗与外科治疗的临床结果和安全性.
- 评估不同治疗方法在解决与SSD相关的PT时的疗效.
主要方法:
- 按照PRISMA指南进行的系统审查.
- 包括2000年1月至2023年1月期间发表的关于内血管或手术治疗SSD的研究.
- 用于描述临床结果和安全数据的描述性统计数据.
主要成果:
- 报告的26名患者 (27个分泌管) 的内血管治疗 (EVT) 在所有病例中显示完全/几乎完全的PT解脱,并发症率为3.7%,没有永久性并发症.
- 报告的105名患者 (107个分泌管) 的手术治疗在77.6%的病例中实现了完全康复,并发症发生率为9.3%.
- 与SSD的外科干预相比,EVT显示出更高的分辨率和明显更好的安全概况.
结论:
- 血管内治疗似乎更有效,更安全地管理二次性脉动性耳与西格突分离器的耳.
- 需要进一步进行大规模研究和直接比较试验,以巩固SSD的治疗建议.
- 这些发现表明,SSD治疗可能会转向内血管治疗方法.
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