预测因素和评分系统的延迟症状低血症在内镜内外科手术后:一个单一中心的回顾性研究
Maoxiang Li1, Senxin Zhang2, Jiliang Hu1
1The Second Clinical Medical College, Jinan University, Shenzhen, Guangdong, China.
World neurosurgery
|September 13, 2024
概括
延迟症状性低血症 (DSH) 是内镜内外科手术 (EES) 后的常见并发症. 高Knosp等级,脑脊液泄漏,手术后低和无味糖尿病 (DI) 预测了DSH风险.
科学领域:
- 神经外科 神经外科
- 内分泌学 在内分泌学.
- 手术并发症 手术并发症
背景情况:
- 延迟症状性低血症 (DSH) 是内镜内外科手术 (EES) 后经常出现的并发症.
- 关于DSH的研究有限,大多数研究都集中在一般的术后低血上.
研究的目的:
- 为了确定下垂体腺瘤或拉特克裂囊后ESS的DSH发病率.
- 为了确定DSH的显著预测因素.
- 为DSH风险评估开发一个简化的评分系统.
主要方法:
- 分析了175个连续的EES病例 (2019-2023年) 对于垂体腺瘤/拉特克裂囊.
- 收集和统计分析手术前,手术内和手术后的数据.
- 开发基于已识别的风险因素的预测评分系统.
主要成果:
- DSH发生在16.6%的病例中 (29/175).
- 预测DSH的预测因素包括Knosp等级≥3,手术期间的CSF泄漏,手术后第二天的低血清,以及手术后的无味糖尿病 (DI).
- 开发的评分系统显示出良好的预测性能 (AUC=0.789).
结论:
- 在EES之后,DSH的发病率为16.8%.
- 克诺斯普等级,手术内CSF泄漏,手术后的第二天血清和手术后的DI独立地与DSH发生有关.
- 简化得分系统可以帮助预测DSH风险.
相关概念视频
01:29Suctioning the Nasopharyngeal Airway
309
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
309
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
58
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
58