跨形外科手术后的紧张性肺炎:一个系统性审查
Nicolai Blasdel1, Kwadwo Darko2, Michael Farid3
1New York University Grossman School of Medicine, New York, NY, USA.
Clinical neurology and neurosurgery
|April 20, 2025
概括
张力肺炎 (TP) 是一种罕见的并发症,发生在内镜内外科手术 (EETS) 后. 管理方法从无症状病例的保守到有症状患者的手术修复,报告了有利的结果.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内镜头骨底部手术 进行内镜头骨底部手术
背景情况:
- 内镜内外科手术 (EETS) 是细胞病变的首要治疗方法.
- 罕见的并发症,如张力pneumosella (TP),可以发生后EETS.
- TP需要仔细的识别和管理策略.
研究的目的:
- 在EETS之后,对张力 pneumosella (TP) 进行系统的文献审查.
- 为识别,管理和预防TP制定建议.
- 分析ETS后的TP的呈现和结果.
主要方法:
- 使用主要电子数据库 (PubMed,Google Scholar,Embase,Cochrane,Web of Science) 对文献进行系统审查.
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 对详细介绍TP后EETS的主要文章进行批判性评估.
主要成果:
- 十一篇文章 (1995-2023) 报道了十二例TP病例,主要是在垂体瘤或拉特克裂囊切除后.
- 常见的症状包括头痛和视力障碍.
- 风险因素包括CSF泄漏和状鼻包装不足;治疗涉及内镜解压/修复或保守管理,所有这些都具有良好的结果.
结论:
- 张力肺炎菌 (TP) 是EETS的一种罕见但显著的并发症,表现不同.
- 症状性TP保证了内镜解压和细胞底修复,使用状鼻脂肪包装.
- 偶然发现的无症状TP可以保守地管理.
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