在干预治疗时代,基底动脉动脉瘤的开放性手术治疗
Meng Zhang1,2, Kaiming Gao2,3, Xiangchen Wu2,3
1School of Medicine, Nankai University, 94 Weijin Road, Tianjin, 300071, China.
Acta neurochirurgica
|June 23, 2024
概括
开放式手术剪切和绕道为复杂的基底动脉动脉瘤提供了有效的治疗方法,实现了高消灭率和良好的预后. 这些开放的外科手术技术仍然是有价值的选择,当内血管干预是不可行的.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 干预神经病学 干预神经病学
背景情况:
- 基底动脉动脉瘤带来了重大的治疗挑战.
- 干预疗法的兴起需要评估传统的开放外科手术方法.
- 开放式手术,包括剪切和绕道,仍然是复杂病例的关键选择.
研究的目的:
- 评估基底动脉动脉瘤的开放外科治疗的有效性.
- 为了比较手术剪切和绕道技术在干预治疗的背景下.
- 以后期分析临床数据,以确定结果和预后.
主要方法:
- 对104名基底动脉动脉瘤患者的回顾性分析,这些患者在2010年至2023年期间接受治疗.
- 为患者选择定义的纳入标准.
- 通过修改的兰金尺度 (mRS) 评估神经预后,并通过SPSS进行统计分析.
主要成果:
- 开放的手术剪切 (67名患者) 实现了91.0%的完整动脉瘤消灭,预后良好88.1%.
- 绕道手术 (37名患者) 导致51.4%的完全消除和13.5%的稳定,有86.5%的良好预后.
- 在手术剪切组中,完全消灭与良好的预后有显著的相关性 (P < 0.001).
结论:
- 开放式手术治疗,包括剪切和绕道,对于复杂的基底动脉动脉瘤是有效的.
- 这些开放的外科手术方法是不适合内血管干预的动脉瘤的理想选择.
- 手术管理为具有挑战性的基底动脉动脉瘤提供了有利的结果和良好的预后.
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