脑膜瘤的手术前栓塞:作用,有效性和并发症
Rana Garayzade1, Jakob Leicht1, Niklas Eckardt1
1Department of Neuroradiology, Institute of Diagnostic and Interventional Radiology, University Hospital Jena, 07747 Jena, Germany.
Journal of clinical medicine
|October 16, 2024
概括
进行手术前的脑瘤栓塞可以显著减少手术期间的血液损失. 这种手术可以实现高瘤脱细胞化率,并发症风险低,使其成为一种有价值的治疗选择.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 神经外科 神经外科
背景情况:
- 帕拉格林瘤,或瘤瘤,由于其广泛的血液供应,很难通过手术切除.
- 手术前栓塞是一种在手术前减少血管性的技术.
- 有限的文献存在于手术前栓塞的疗效和安全性,特别针对瘤.
研究的目的:
- 评估手术前栓塞的有效性,以实现质瘤瘤的瘤囊化.
- 评估栓塞对减少外科手术期间流血的影响.
- 确定与此程序相关的风险和并发症率.
主要方法:
- 在2009年至2023年期间进行的囊瘤栓塞的回顾性分析.
- 测量的主要结局:脱细胞化率和显著的外科手术期间出血.
- 测量二次结果:与栓塞相关的并发症.
主要成果:
- 在20名患者中进行了21次栓塞.
- 在43%的病例中,达到了90%以上的脱细胞化;在剩余的病例中,达到了80-90%.
- 在5%的病例中发生了显著的出血,并注意到一种症状并发症 (DWI病变).
- 在栓塞后没有报告神经麻的病例.
结论:
- 术前栓塞是有效的显著 devascularizing glomus 瘤.
- 这种手术可以减少外科手术期间出血.
- 球腔瘤的栓塞表明并发症的发生率很低.
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