动脉瘤手术后眼运动神经麻的恢复风险因素:一个元分析
Yuan Li1, Ming Zhao1, Xuemei Li1
1The First Affiliated Hospital of Harbin Medical University, Harbin, China.
PeerJ
|November 4, 2024
概括
动脉瘤手术后的眼运动神经麻 (ONP) 恢复不受性别,年龄,动脉瘤大小或治疗时间的影响. 手术前完整的ONP,手术本身和下关节出血是影响恢复的关键危险因素.
科学领域:
- 神经外科 神经外科
- 眼科医生 眼科 眼科
- 神经学 神经学
背景情况:
- 眼运动神经麻 (ONP) 可能发生在动脉瘤手术后.
- 确定影响ONP恢复的因素对于患者的治疗结果至关重要.
研究的目的:
- 探索风险因素影响眼运动神经麻 (ONP) 经动脉瘤手术后的恢复.
- 进行现有研究的元分析,以确定ONP恢复的重要预测因素.
主要方法:
- 在多个数据库 (PubMed,Embase,科学网,科克兰图书馆,中国知识,万芳,VIP) 进行了全面的文献搜索.
- 包括到2024年2月14日发表的病例控制或队列研究.
- 使用 Stata 15 的元分析技术分析了数据.
主要成果:
- 分析包括12篇文章,共866名参与者.
- 没有发现性别,年龄,动脉瘤大小和治疗时间等因素是ONP恢复的重要风险因素.
- 手术前完整的ONP (OR = 2.27),接受手术 (OR = 9.88) 和下关节出血 (OR = 1.29) 被确定为ONP恢复的重要风险因素.
结论:
- 在手术前完成ONP与较差的康复结果有关.
- 手术后的状态和子arachnoid 出血的存在似乎与更好的ONP恢复有关.
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