在静脉鼻上复合压力骨折的管理
Mohammad Elbaroody1, Ahmed A Marei1, Karim Fathy Sawy1
1Department of Neurosurgery, Faculty of Medicine, Cairo University, Egypt.
Asian journal of neurosurgery
|November 28, 2024
概括
复合压力骨折的手术治疗覆盖静脉鼻是有效的. 在手术期间的鼻损伤是可以管理的,严重的撕裂很少发生,并且与糟糕的结果有关.
科学领域:
- 神经外科 神经外科
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
背景情况:
- 复合压力骨折覆盖长脉静脉鼻呈现独特的外科手术挑战.
- 在手术期间治疗鼻损伤对于患者的治疗结果至关重要.
研究的目的:
- 报告复合压缩骨折在静脉鼻的手术治疗经验.
- 为突出预测和管理手术内鼻损伤.
主要方法:
- 针对34名患者的回顾性综述,这些患者接受了长期静脉鼻腔骨折手术 (2019年1月 - 2021年12月).
- 对患者人口统计学,创伤机制,鼻干扰和手术内并发症的分析.
主要成果:
- 最常见的参与者是上部斜鼻 (SSS) (82.4%).
- 在50%的患者中发生了手术期间的鼻撕裂,并且可以控制.
- 在2名严重头部受伤的患者中,出现了带有大量出血 (需要绑定) 的完整鼻撕裂,两者都导致死亡.
结论:
- 在经验丰富的中心,大多数复合压缩骨折在静脉鼻上都建议进行手术提升.
- 鼻腔出血通常是可以控制的; 完全撕裂是罕见的,并与严重的头部伤害相关.
- 保守的管理需要密切跟踪潜在的鼻血栓和内高血压.
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