双边部解剖后的阿莫罗斯症:一个系统性审查
Jafar Hayat1, Yahya Ali2, Salman Hussain3
1Department of Otolaryngology, Head and Neck Surgery, Jaber Al-Ahmad Al-Sabah Hospital, Kuwait, Kuwait.
概括
视力损失,或视力损失,可以发生在双边激进部剖析后. 本综述强调了诸如缺血性视神经病变等常见原因,并由于证据有限而提出了管理算法.
科学领域:
- 眼科医生 眼科 眼科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
背景情况:
- 双边根性部剖析是一种复杂的手术程序.
- 视力损失或视力损失是这种手术后的罕见但严重的并发症.
- 了解青毛病的发生率和原因对于患者的治疗结果至关重要.
研究的目的:
- 系统地审查经过双边根性部剖析后有关青毛病的文献.
- 为了确定手术后毛病的流行率,原因和管理策略.
- 提出一个管理算法来指导临床实践和改善结果.
主要方法:
- 对PubMed,EMBASE和Web of Science数据库的系统文献审查.
- 包含了23篇文章,报告了1960年至2021年两边部剖析后的麻疹病例.
- 对研究设计,患者人口统计,手术细节和管理方法的描述性分析.
主要成果:
- 报告了23例黄斑病例,主要是在病例报告中 (n=21).
- 常见的原因包括后部缺血视神经病变 (PION) 和前部缺血视神经病变 (AION).
- 在几个案例中,观察到手术内低血压和大量输血 (平均750毫升). 高剂量的皮质类固醇是最常见的管理方法.
结论:
- 有一个显著的缺乏高质量的证据,关于amaurosis后双边部剖析.
- 审查强调需要采用结构化管理方法.
- 提出的管理算法可以帮助规范护理,并可能减轻这种并发症.
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