大规模肺脑作为慢性下皮质血瘤手术后复发的风险因素:系统性审查和元分析
Xiaolin Du1, Kun Zhou1, Cheng Wang1
1Department of Neurosurgery, The Jinyang Hospital Affiliated to Guizhou Medical University, Guiyang, Guizhou Province, China.
概括
手术后的肺脑炎显著增加了慢性腹腔内血瘤 (CSDH) 的复发风险. 广泛的肺脑病是主要的危险因素,影响预后,但不影响死亡率.
科学领域:
- 神经外科 神经外科
- 放射学 放射学是一门学科.
- 临界护理医学 临界护理医学
背景情况:
- 症状性慢性腹腔内血瘤 (CSDH) 是常见的,并使用孔排水来治疗.
- 在CSDH手术后,术后的肺脑炎是常见的.
- 肺脑病和CSDH复发之间的联系尚不清楚.
研究的目的:
- 为了调查术后肺脑病和CSDH复发之间的关联.
- 评估肺脑病对CSDH预后和死亡率的影响.
主要方法:
- 在PubMed,EmBase,Web of Science和Cochrane图书馆的系统文献审查,直到2024年9月.
- 在研究选择和数据提取方面遵循PRISMA指南.
- 对19项涉及3202名使用RevMan 5.4软件的患者的研究进行了元分析.
主要成果:
- 在肺脑病患者中,CSDH复发率明显高于肺脑病患者 (OR,3.22).
- 与没有/最小或中度肺脑病相比,广泛和大规模肺脑病例的复发率明显更高.
- 肺脑病与较差的结局有关,但死亡率没有增加.
结论:
- 术后肺脑体积与CSDH复发有关.
- 广泛的肺脑炎是CSDH复发的重要危险因素.
- 肺脑病影响CSDH的预后,但不影响死亡率,因此需要进一步的前性研究.
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