内镜第三腹腔切除术与手术后体温升高的相关性:单中心回顾性比较研究
Mohammed Issa1,2, Clara Dannehl3,4, Angelika Seitz3,5
1Faculty of Medicine, Heidelberg University, Heidelberg, Germany. mohammed.issa@med.uni-heidelberg.de.
Neurosurgical review
|January 9, 2025
概括
与其他神经内镜手术相比,内镜第三室内静脉切除术 (ETV) 与术后发烧增加有关. 这种发烧通常在手术后的早期出现,并在没有特殊治疗的情况下在三天内消失.
科学领域:
- 神经外科 神经外科
- 温度调节 温度调节 温度调节
- 术后护理 术后护理
背景情况:
- 在神经内镜手术后,术后发烧很常见.
- 与程序类型相关的特定原因尚不清楚.
- 下丘脑在温度调节中的作用表明,ETV可能会独特地影响发烧.
研究的目的:
- 为了调查内镜第三心室静脉切除术 (ETV) 是否会导致明显的术后发烧模式.
- 为了比较ETV和非ETV神经内镜手术之间的发烧发病率和特征.
主要方法:
- 对207名接受神经内镜手术的患者进行了回顾性比较分析 (2017年1月至2023年9月).
- 患者分为ETV (n=104) 和非ETV (n=103) 组.
- 术后体温监测7天;发烧定义为≥38.3°C.
主要成果:
- 两组之间在手术前因素或抗生素使用方面没有显著差异.
- 在ETV组中,术后发烧的发病率显著增加 (37.5%与19.4%,p=0.005).
- 在ETV患者中,发烧在手术后的第一到第三个晚上最为突出,并且自行解决.
结论:
- 在ETV期间操纵第三腹腔层可能会导致手术后发烧.
- 神经内镜程序本身,而不仅仅是方法,都与发烧有关.
- 需要进一步的前性研究来澄清手术后操纵引起的发烧的机制.
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