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对于小儿患者的动脉静脉形异常的立体射线手术:更新的系统性审查和元分析

Salem M Tos, Georgios Mantziaris, Ahmed Shaaban

Journal of neurosurgery. Pediatrics

|October 4, 2024

概括

立体辐射手术 (SRS) 有效地治疗儿科内动脉静脉形缺陷,达到64.7%的消灭率. 长期并发症通常很低,但需要进一步的研究才能获得明确的结果.

科学领域:

神经外科神经外科
辐射瘤学辐射瘤学
儿科神经学儿科神经学

背景情况:

内动脉静脉形 (AVM) 是儿童内出血的主要原因.
立体射线手术 (SRS) 是儿科AVM的常见治疗方式.

研究的目的:

系统地审查和分析治疗结果和SRS的长期并发症,以治疗儿科内AVM.

主要方法:

按照PRISMA和MOOSE指南进行系统审查和元分析.
在电子数据库中进行文献搜索,截至2024年2月6日.
结果措施包括消灭率,出血,辐射诱导的变化,囊形成和瘤发生.

主要成果:

在单个分数SRS后,集中的完全消灭率为64.7%.
聚合后SRS出血率为6.2%;症状辐射诱导的变化发生在8.8%的患者中.
报道了辐射诱导亡 (2.6%),囊形成 (1.3%) 和瘤 (0.15%) 的低发病率.

结论:

SRS是一种有效的治疗选择儿科内AVM的治疗方法.
长期并发症率似乎很低,但需要进一步的纵向研究.

关键词:

这是一种动脉静脉形形.儿科儿科儿科立体的放射外科手术.

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