在骨结处长期动脉静脉:一个系统的审查和元分析
Jumanah Qedair1,2, Kiran Sankarappan3, Mohammad Mirahmadi Eraghi4,5
1College of Medicine, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Jeddah, Saudi Arabia.
Neurosurgical review
|October 23, 2024
概括
结关节硬性动脉静脉 (CCJ-DAVFs) 的管理具有挑战性. 微手术显示较高的消灭率和良好的临床结果比血栓化或CCJ-DAVFs的保守管理.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 椎结关硬性动脉静脉 (CCJ-DAVFs) 存在复杂的管理挑战.
- 显微手术,栓塞和保守管理的临床和血管学结果需要系统的评估.
研究的目的:
- 系统地审查和分析CCJ-DAVFs不同管理策略的临床和血管学结果.
- 为了比较微手术,栓塞和CCJ-DAVFs的保守治疗的疗效和安全性.
主要方法:
- 按照PRISMA指南进行了系统审查和元分析.
- 相关的文章从主要的科学数据库中获取 (PubMed,Scopus,科学网,Cochrane).
- 分析了临床特征,管理方法和结果.
主要成果:
- 包括13篇涉及166名患者的文章,微手术 (46.5%) 和栓塞 (45.9%) 是最常见的治疗方法.
- 微手术 (74.1%) 的完全片消灭率高于栓塞 (54.9%).
- 在66.4%的微手术患者中观察到良好的临床结果,而在栓塞患者中为51.9%,在保守管理患者中为11.6%.
结论:
- 对于CCJ-DAVF的每个管理方法都有明显的优势.
- 与栓塞或保守方法相比,微手术似乎为CCJ-DAVFs提供了更好的消灭和临床结果.
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