在半面中微血管减压后面部延迟的危险因素:系统性审查和元分析
Xueliang Liu1, Xuehan Li2, Zhi Hou1
1Department of Neurosurgery, Xinqiao Hospital, Army Medical University, Chongqing, China.
World neurosurgery
|June 6, 2025
概括
延迟面部 (DFP) 是微血管减压 (MVD) 后的一种常见并发症. 面部神经缩,多个血管和更长的疾病持续时间增加了DFP的风险.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
背景情况:
- 延迟面部 (DFP) 是已知的微血管减压 (MVD) 的手术后并发症,用于面部.
- 对于DFP的确切机制和风险因素仍然不完全理解.
研究的目的:
- 为了确定MVD后的DFP的发生率,持续时间和延迟时间.
- 为了确定与MVD后的DFP相关的显著风险因素,用于半面.
主要方法:
- 进行了定量,原始研究的系统审查和元分析.
- 搜索了多个数据库 (PubMed,Embase,科学网等) 从开始到2024年11月.
- 单臂对DFP发病率,持续时间和延迟的元分析;多变量对风险因素的元分析.
主要成果:
- 15项研究报告了5262例MVD病例,总体DFP发病率为9%.
- 平均DFP持续时间为84.8天,术后平均延迟时间为10.9天.
- 面部神经的缩 (OR=12.78),多个受损血管 (OR=6.95) 和更长的疾病持续时间 (OR=1.71) 是显著的危险因素.
结论:
- DFP是MVD后的一种相对常见的并发症,用于半面.
- 面部神经的缩,多个受损的血管和长期的疾病持续时间是DFP的关键风险因素.
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