影响视觉结果的因素 经过长期静脉鼻支架在异常发病性内高血压的视觉结果
Shuran Wang1, Raynald2, Runhua Zhang3
1Department of Ophthalmology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Journal of neurointerventional surgery
|February 4, 2025
概括
更糟糕的手术前平均偏差 (MD) 和更高的总梯度压力 (TCGP) 与静脉鼻腔支架后异常性脑内高血压 (IIH) 患者的视觉结果较差有关.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 血管医学 血管医学
背景情况:
- 异形性内高血压 (IIH) 可能导致视力丧失.
- 静脉鼻狭窄是IIH患者的常见发现.
- 静脉鼻支架是静脉鼻狭窄症的IIH的治疗选择.
研究的目的:
- 为了确定基线因素预测静脉鼻支架在IIH患者后的视觉结果.
- 为了确定前造影后视力恢复的有利与较差的预测因素.
主要方法:
- 分析了接受支架的IIH和静脉鼻狭窄症患者.
- 视觉结果在6个月后使用平均偏差 (MD) 进行评估.
- 在有利的 (MD > -2.0 dB) 和较差 (MD ≤ -2.0 dB) 结果组之间进行了基线变量比较;多变量后勤回归确定了预测因素.
主要成果:
- 较差的视觉结果与更糟糕的手术前MD,更高的跨静脉和总梯度压力 (TCGP),更糟糕的初始视力敏度,较低的状细胞综合体 (GCC) 厚度和更高的GCC损失量有关.
- 多变量分析发现,手术前的MD情况较差,TCGP水平较高是视力状况较差的重要预测因素 (分别P=0.001和P=0.012).
结论:
- 更糟糕的手术前平均偏差 (MD) 和更高的总梯度压力 (TCGP) 与治疗静脉鼻支架的IIH患者的视觉结果较差有关.
- 这些因素可能有助于分层风险,并指导IIH患者的治疗决策.
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