拉丁美洲的骨髓瘤修复:一个系统的审查
Sima Vazquez1, Victor M Lu1,2, Jorge Brun3
11Department of Neurological Surgery, University of Miami, Jackson Memorial Hospital, Miami, Florida.
Journal of neurosurgery. Pediatrics
|November 29, 2024
概括
最近在拉丁美洲的研究表明,人们正在转向产前修复骨髓瘤瘤 (MMC). 虽然产前方法越来越多地被采用,但需要进一步研究在子宫内修复后的长期泌尿学结果.
科学领域:
- 医学研究 医学研究
- 手术创新 在外科创新.
- 拉丁美洲医疗保健 拉丁美洲医疗保健
背景情况:
- 骨髓灰质炎 (MMC) 与显著的发病率和死亡率有关.
- 骨髓瘤结核管理研究 (MOMS) 显示,产前与产后修复的结果更好.
- 马姆斯试验对拉丁美洲临床实践的影响仍未得到充分研究.
研究的目的:
- 审查拉丁美洲地区关于骨髓髓结核 (MMC) 修复的现有文献.
- 识别和分析本地区研究报告的管理模式和结果.
主要方法:
- 进行了系统的文献审查.
- 如果高级作者或患者队伍来自拉丁美洲国家,则将研究纳入.
- 提取的数据包括研究特征和报告的MMC修复管理策略.
主要成果:
- 71项研究符合纳入标准,主要来自巴西,墨西哥,阿根廷和智利.
- 最近的出版物主要描述产前MMC修复.
- 前性研究表明,胎儿的开放微切除术和微神经外科手术的趋势,在泌尿病学结果中观察到的改善有限.
结论:
- 六个拉丁美洲国家发表了关于MMC修复的文章,最近明显转向产前干预.
- 该地区越来越多地采用胎儿微切除术和微神经外科手术技术.
- 需要进一步研究在子宫内MMC修复后的长期泌尿结果.
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