中部结 - - 预后比背部结更糟糕吗?
Chatterjee Sandip1, Dasgupta Arjun Shankar2, Khizar Syed2
1Park Clinic, Kolkata, India. sandipchat@gmail.com.
概括
与背部病例相比,腹部带患者表现出更多的手术前缺陷和更糟糕的手术结果. 仔细的手术前MRI对于预测手术挑战和潜在的恶化至关重要.
科学领域:
- 神经外科 神经外科
- 儿科神经学 儿科神经学
- 脊髓疾病 脊髓疾病
背景情况:
- 带综合征是一种复杂的神经疾病.
- 了解腹部和背部绑定之间的差异对于手术规划至关重要.
研究的目的:
- 为了比较腹腔与脊髓绑定手术的外科结果.
- 为了确定呈现和术后结果的差异.
主要方法:
- 对188名带患者的回顾性分析.
- 分类为腹部和背部绑定组,不包括混合情况.
- 对术前和术后的临床,放射学和神经生理学数据的分析.
主要成果:
- 腹腔绑定 (28%) 与更多的手术前的神经缺陷和带信号变化有关.
- 手术后的神经系统恶化在腹腔组显著高于腹腔组.
- 在腹部带带病例中,不完整的脱更为频繁.
结论:
- 腹部绑定绳索往往会出现手术前的神经系统缺陷.
- 术前MRI识别腹部绑定对于预测手术困难和结果至关重要.
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