[在手术中的术后并发症在儿童的头骨缩症:一个系统的审查和元分析]
B A Bashiryan1, L A Satanin2, O A Gadzhieva1
1Burdenko Neurosurgical Center, Moscow, Russia.
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko
|May 30, 2025
概括
这项研究回顾了33份关于儿科骨突手术并发症的手稿. 内镜手术的并发症率 (7.2%) 比开放手术 (13.5%) 低,最常见的是流血.
科学领域:
- 儿科手术 儿科手术
- 神经外科 神经外科
- 面外科手术 面外科手术
背景情况:
- 在婴儿时,突 (CS) 需要进行外科纠正.
- 了解术后并发症对于患者的安全至关重要.
- 风险因素和发病率需要彻底调查.
研究的目的:
- 分析儿科关突症 (CS) 中术后并发症的结构,发生率和危险因素.
- 为了比较内镜和开放外科手术方法之间的并发症率.
- 识别常见的外科和非外科不良事件.
主要方法:
- 对33份手稿进行系统审查.
- 分析的重点是24个月以下的患者,他们接受了CS的手术纠正.
- 提取有关术后并发症和不良事件的数据.
主要成果:
- 整体并发症发生率为9.8%.
- 与开放式手术 (13.5%) 相比,内镜手术的并发症率较低 (7.2%).
- 最常见的手术并发症包括失血 (35.7%),持续撕裂 (3.8%) 和血液瘤 (1.6%).
结论:
- 儿科CS手术中的外科并发症是显著的,但根据手术方法而异.
- 内镜手术在并发症率方面似乎更安全.
- 常见的并发症包括失血,持续性撕裂,脑脊液泄漏,血瘤,感染和发烧.
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