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在腹腔镜结直肠手术期间,视神经外套超声波的实用性
L Alcover Navarro1, C S Romero García2, E Mateo Rodríguez2
1Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
Revista espanola de anestesiologia y reanimacion
|February 15, 2025
概括
腹腔镜结直肠手术在手术过程中增加了视神经 (ONS) 的直径. 然而,这种增加与手术持续时间或术后神经和视觉问题无关.
科学领域:
- 结肠直肠外科手术是什么意思
- 麻醉学 麻醉学
- 神经外科 神经外科
背景情况:
- 腹腔镜结肠直肠癌手术比开放手术具有优势.
- 在腹腔镜检查中,肺和Trendelenburg的位置可以提高内压力 (ICP).
- 光神经外 (ONS) 直径超声波与侵入性ICP测量相关.
研究的目的:
- 为了将ONS直径变化与手术时间和麻醉后的出现相关联.
- 为了评估视觉和神经复发症后的拉巴罗镜结直肠手术.
主要方法:
- 研究了30名因直肠/心肌腺癌接受腹腔镜手术的患者.
- 进行了手术前,手术内和手术后的ONS直径测量.
- 视觉敏度,认知功能和动作都被评估在术后.
主要成果:
- 在手术期间,ONS直径在两只眼睛都增加.
- 在ONS直径和手术时间或出现时间之间没有发现相关性.
- 没有观察到ONS直径和术后视觉或神经变化之间的显著相关性.
结论:
- 虽然ONS直径在腹腔镜结直肠手术期间增加,但它似乎无法预测术后的神经或视觉并发症.
- 可能需要进一步的研究,以充分理解ONS变化在这种手术环境中的影响.
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