皮层切口和皮层穿越方法用于轴内和心室内病变:范围审查
Samer S Hoz1, Mustafa Ismail2, Paolo Palmisciano3
1Department of Neurosurgery, University of Pittsburgh, Pittsburgh, United States.
Surgical neurology international
|April 17, 2024
概括
穿越皮层的方法,特别是穿越时空的途径,对于诸如瘤之类的脑病理是关键. 根据病变特征选择正确的外科走廊可以改善患者的治疗结果.
科学领域:
- 神经外科 神经外科
- 手术神经科学手术神经科学
- 脑病理管理 脑病理管理
背景情况:
- 跨皮层方法对于治疗各种内病理,包括瘤,血管问题和血液瘤至关重要.
- 皮层切口的设计取决于病变的特点,功能解剖学和像通道图像等成像.
- 需要进行系统审查,以分析常见的皮层横断接入点,并发症和病理.
研究的目的:
- 对内病理进行跨皮层方法的范围审查.
- 评估当前指导选择这些外科走廊的证据.
主要方法:
- 根据PRISMA-ScR指南进行范围审查.
- 在主要的数据库中进行了搜索 (PubMed,EMBASE,Scopus,Web of Science).
- 包括与≥5名患者的研究,报告临床数据,治疗方法和结果.
主要成果:
- 分析了50篇文章和2604名患者.
- 大脑瘤 (60.6%),特别是质瘤是最常见的病理.
- 穿越皮层-穿越时空的方法是最常见的 (70.48%),访问叶 (55.68%).
- 结果:55.52%是好的,28.38%是不好的,14.62%是死亡.
结论:
- 跨皮层方法对于管理内病变至关重要.
- 穿越皮层-穿越时空的方法是最常用的方法.
- 根据病变病理和位置量身定制手术走廊与有利的结果有关.
相关概念视频
01:26Bone Markings
Bones have various surface features that help form joints and attach to other soft tissues. Depending on the function, bone markings are categorized into articulating projections, processes for attachment, depressions, and openings.
Articulating Projections
Articulating projections are found where two bones meet to form a joint. These structures are usually found at the ends of bones. The largest articulation is a rounded projection called the head, supported by a narrow neck at the ends of...
Articulating Projections
Articulating projections are found where two bones meet to form a joint. These structures are usually found at the ends of bones. The largest articulation is a rounded projection called the head, supported by a narrow neck at the ends of...
01:15Layers of the Heart Wall
The heart wall comprises three distinct layers: the epicardium, myocardium, and endocardium. The outermost layer, the epicardium, is the visceral layer of the serous pericardium, featuring a thin, transparent mesothelial surface and an inner layer of areolar connective tissue with fat deposits that increase with age.
The myocardium, the thickest layer, consists of cardiac muscle cells interconnected by intercalated discs and crisscrossing connective tissue fibers. These muscle fibers contract...
The myocardium, the thickest layer, consists of cardiac muscle cells interconnected by intercalated discs and crisscrossing connective tissue fibers. These muscle fibers contract...
01:29Assessment of the Cardiovascular System II: Inspection
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
01:29Cardiovascular System Abnormal Findings I: Inspection and Palpation
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
01:24Cardiac Catheterization III: Left Heart Catheterization
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...