[扩大周血管空间的手术:初级经验]
A A Veselkov1, A V Gavryushin1, S A Maryashev1
1Burdenko Neurosurgical Center, Moscow, Russia.
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko
|April 4, 2025
概括
对扩大周血管空间的微手术治疗显示出有限的有效性,大多数患者出现了新的或持久的神经症状. 目前这种情况的手术选择仍然不清楚.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 血管神经学 血管神经学
背景情况:
- 周血管空间 (PVS) 是大脑和脊髓血管周围的充满液体的腔.
- 异常的PVS扩大可以导致严重的神经缺陷.
- 目前缺乏有效的手术干预扩张PVS.
研究的目的:
- 审查文献,并介绍关于微手术治疗扩大周血管空间的临床经验.
- 评估对PVS病理的微手术方法的疗效.
主要方法:
- 在PubMed的文献综述 (2009-2024年).
- 对接受微手术治疗的小队列 (n=5) 患者的分析.
- 程序包括微手术囊腔静脉切除术和囊腔静脉切除术与活检.
主要成果:
- 微手术囊腔静脉切除术和囊排水证明了有限的疗效.
- 五分之四的患者在手术后出现了新的神经症状.
- 之前存在的神经症状没有显著改善.
结论:
- 目前用于扩张周血管空间的微手术干预已经显示出不理想的结果.
- 脑脊液分流仍然是PVS与内高血压的主要手术方法.
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