脑瘤患者的血管发病率和死亡率-一个范围审查
Julia Beckhaus1,2, Carsten Friedrich1, Hermann L Müller1
1Department of Pediatrics and Pediatric Hematology/Oncology, University Children's Hospital, Carl von Ossietzky Universität Oldenburg, Klinikum Oldenburg AöR, 26133 Oldenburg, Germany.
Cancers
|March 28, 2024
概括
喉瘤的治疗方法,如手术和放射治疗,可能会导致罕见但严重的血管并发症. 监测患者,特别是接受放射治疗的年轻人,对于早期发现和管理这些副作用至关重要.
科学领域:
- 神经瘤学神经瘤学
- 血管神经学 血管神经学
- 放射治疗瘤学 放射治疗瘤学
背景情况:
- 喉瘤 (CP) 治疗,包括手术和放射治疗,与潜在的血管副作用有关.
- 脑膜炎治疗造成的下丘脑损伤可能导致病态肥胖和终身血管事件风险增加.
研究的目的:
- 审查和总结现有证据,对患者的血管并发症的adamantinomatous或乳头瘤.
- 为了确定与手术和放射治疗干预相关的特定的血管后遗症CP.
主要方法:
- 在Medline,CINAHL和Web of Science数据库 (2023年6月) 中进行了系统的文献搜索.
- 该审查包括72项研究,主要是病例报告,重点关注同行评审的文章.
- 数据提取和选由两个独立的审查员进行.
主要成果:
- 手术并发症包括动脉扩张,中风,血管,出血和动脉瘤.
- 放射治疗相关的后果包括莫亚莫亚综合征和洞穴瘤.
- 心血管疾病发病率和死亡率经常与治疗诱导的下丘脑肥胖症和代谢综合征有关.
结论:
- 血管损伤是脑瘤治疗的不常见但显著的并发症.
- 手术技术必须优先保护相邻的下丘脑和血管结构.
- 建议在治疗后进行监测,包括对年轻放射治疗患者的磁共振血管造影,以检测神经血管后续.
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