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全内镜宫手术的临床结果和患者前景:系统性审查

Wongthawat Liawrungrueang¹, Sung Tan Cho², Ayush Sharma³

¹Department of Orthopaedics, School of Medicine, University of Phayao, Phayao, Thailand.

|April 11, 2025

概括

全内镜宫手术 (FECS) 提供了显著的疼痛缓解和宫脊椎疾病的功能改善. 这种最少的侵入性方法显示出高的患者满意度和低的并发症率,使其成为安全有效的治疗选择.

科学领域:

神经外科神经外科
最少侵入性的手术
脊柱外科手术脊柱外科手术

背景情况:

椎脊柱疾病在神经外科手术中是一个重大挑战.
越来越多地探索微创手术技术,以改善患者的治疗结果.
全内镜宫手术 (FECS) 是治疗这些疾病的不断发展的方法.

研究的目的:

系统地审查FECS的临床结果和患者观点.
评估与FECS相关的安全性,有效性和患者满意度.
综合FECS对椎脊椎疾病的现有证据.

主要方法:

在主要数据库 (PubMed/MEDLINE,Cochrane,Embase,Web of Science) 中进行系统的文献搜索.
包括2000年1月至2024年9月的研究,报告FECS结果或患者观点.
使用ROBINS-I和Cochrane偏差风险工具进行偏差风险评估.

主要成果:

综合包括的30项研究显示,宫和根部疼痛显著减少.
观察到有意义的功能改善,通过验证的尺度 (NDI,VAS) 进行测量.
报告的患者满意度高 (>85%) 和过渡性神经缺陷并发症率低.

结论:

FECS是一种安全有效的微创手术选择,用于宫脊椎疾病.
这种手术与显著的疼痛缓解和功能改善有关.
患者的高满意度强调了FECS在临床实践中的价值.

关键词:

宫椎间盘的发生临床结果临床结果进行全内镜子宫手术.最少侵入性的脊柱手术患者的满意度患者的满意度

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