管状微分隔切除术期间的偶发性硬膜切除术并不排除当天的分泌
Eva Liu1, Sabahat Saeed1, Nicole R Coote1
1Division of Neurosurgery, Department of Surgery, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada.
概括
患有脑脊液 (CSF) 泄漏的微导管切除术的患者可以在同一天安全地回家. 这种方法尽量减少并发症,避免在CSF泄漏管理中长时间住院.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 最少侵入性手术的方法
背景情况:
- 最少侵入性的微分隔切除术提供了优势,包括减少脑脊液 (CSF) 泄漏的死空间.
- 有限的数据存在于管状微隔膜切除术后偶发性硬膜切除术的当日出院结果.
研究的目的:
- 为了评估在微侵袭性管状微分隔切除术期间出现CSF泄漏的患者当天出院的安全性和结果.
- 为了比较同一天的出院与因偶发性乳腺切除术而入院的夜间住院.
主要方法:
- 对30名在微侵袭性管管微切除术期间进行偶发性硬膜切除术的患者进行了回顾性比较研究.
- 患者被分为同一天出院 (n=14) 和住院 (n=16) 组.
- 手术修复涉及onlay duraplasty (97%) 或 sutures (3%);没有需要开放的转换.
主要成果:
- 在出院和住院组之间没有观察到显著的人口差异.
- 所有患者 (100%) 在没有再入院或修复手术的情况下成功修复了CSF泄漏.
- 住院患者的平均入院时间为2.4天,而出院患者的床上休息时间最小.
结论:
- 同一天排泄是一种安全有效的策略,用于管理经过微侵袭性管状微分切除术后的偶发性硬膜切除术.
- 这种方法可以减少住院时间,而不会影响患者的治疗结果.
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