腹腔复脑分离是治疗水头的第二种选择吗? 一个对543名患者的元分析
Leonardo B Oliveira1, Silvio Porto2, Filipi Fim Andreão3
1Department of Neurosurgery, State University of Ponta Grossa, Ponta Grossa, PR, Brazil.
Clinical neurology and neurosurgery
|July 9, 2024
概括
在其他方法失败时,心室脉突变 (VPLS) 是水头症的另一种选择. 然而,高的修订率和诸如膜溢出等并发症限制了它们的广泛使用,这表明替代治疗可能是更好.
科学领域:
- 神经外科 神经外科
- 儿科神经外科 儿科神经外科
- 医疗器械技术 医疗器械技术
背景情况:
- 腹腔复发突变 (VPLS) 用于特定的脑水症病例,当传统的治疗方法不可行时.
- 目前关于VPLS疗效和安全性的文献有限,需要进一步研究.
研究的目的:
- 进行单臂元分析,以评估与VPLS相关的临床结果.
- 系统地审查关于VPLS治疗脑水症的现有证据.
主要方法:
- 按照PRISMA指南进行了系统的文献搜索,重点研究的队列超过四名患者.
- 评估的关键结果包括死亡率,多叶膜溢出,分流修订,阻塞,迁移,肺气和腹膜下血瘤.
主要成果:
- 对13项涉及543名患者的回顾性研究的分析显示, significant shunt修订率为54%.
- 最常见的并发症是膜溢出 (16%),其次是感染 (7%) 和分流阻塞 (13%).
- 没有报告与分离相关的死亡率,其他并发症,如迁移和腹腔内血瘤发生在最小的率.
结论:
- 当没有其他可用的远端导管安置选项时,可以考虑VPLS作为头症的治疗选择.
- 目前,高速率的分流修订,多流和感染,以及结果的异质性,限制了VPLS的广泛采用.
- 在可能考虑VPLS的场景中,建议优先考虑替代治疗选择.
关键词:
头部液体 (Hydrocephalus) 是一种脑水性.短线运行方式 短线运行转向的转向是因为转向.腹腔 - 肺 - 肺 - 肺Ventriculopleural 腹腔脉动脉动脉动脉动脉动脉动脉动更多相关视频
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