1型奇阿里形对老年人的影响
1Department of Neurosurgery, SRH Wald-Klinikum Gera, Gera, Germany.
Surgical neurology international
|December 6, 2024
概括
老年奇亚里形 (CM) 患者的手术改善了症状,但有并发症. 较好的结果与较小的 Syrinx 尺寸有关,尽管需要进一步研究以确定最佳的治疗策略.
科学领域:
- 神经外科 神经外科
- 老年医学 老年医学
- 医疗器械 医疗器械
背景情况:
- 奇亚里形 (CM) 影响小脑,通常需要手术干预.
- 老年患者的CM呈现独特的挑战和后后部解压后的结果.
- 下骨切除术 (SC) 与持续整形 (DP) 或持续分裂 (DS) 是CM的外科选择.
研究的目的:
- 为了评估老年患有奇亚里形的老年患者的手术结果.
- 为了比较 suboccipital craniectomy 与duraplasty 与老年人中的持续分裂.
- 评估老年人CM手术后的症状缓解,注射口变化和并发症.
主要方法:
- 对60岁以上的CM患者进行了回顾性研究.
- 包括在1989年至2022年期间接受了PD或DS后解压缩 (PFD) 的患者.
- 数据收集包括人口统计,并发症,临床特征,手术细节,芝加哥奇亚里结果尺度 (CCOS),并发症和随访.
主要成果:
- 七名CM老年患者 (平均年龄65.14岁) 接受了手术.
- 六名患者有一个注射器 (平均直径6.17毫米);一个患有水头,一个患有脊椎病.
- 六名患者接受了SC与DP,一名患者接受了SC与DS;离院时中位数的CCOS为13.
结论:
- 在大多数老年CM患者中,手术改善了症状,但在两例中需要重新手术.
- 观察到,鼻直径略微增加,CCOS分数下降.
- 较小的注射器尺寸与更好的结果相关,这表明需要在这个人群中量身定制的治疗策略.
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