手术的主要并发症在拉丁美洲的一个中心进行手术
Irving Fuentes-Calvo1, Jimena Gonzalez-Salido1, Fernando Sotelo-Díaz2
1Epilepsy Clinic & Clinical Epileptology Fellowship, National Institute of Neurology and Neurosurgery "Manuel Velasco Suárez" & Faculty of Medicine, UNAM, Mexico City, Mexico.
Neurosurgical review
|June 13, 2025
概括
在拉丁美洲,手术的并发症率很低,特别是当耐药性 (DRE) 患者被提前转诊时. 尽管已证明安全性,但进入障碍限制了其使用,尽管未经治疗的具有更高的风险.
科学领域:
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
- 公共卫生 公共卫生
背景情况:
- 手术是对抗药性 (DRE) 的关键治疗方法.
- 了解拉丁美洲等不同医疗保健机构的并发症率对于患者护理和政策至关重要.
- 高等保健中心在管理复杂的神经疾病方面发挥着关键作用.
研究的目的:
- 记录手术后的医学和神经学并发症.
- 评估拉丁美洲第三级护理中心手术的安全性和结果.
- 评估早期转诊对手术结果和并发症的影响.
主要方法:
- 对165名DRE患者进行了回顾性研究,这些患者在2006年至2013年期间接受了手术.
- 分析包括18岁以上的患者,随访时间至少为一年.
- 统计方法包括费舍尔的精确测试,皮尔森的千平方和ANOVA与Tukey的后期测试.
主要成果:
- 在95名外科手术患者中,73.7%的患者进行了叶切除术与杏仁囊囊切除术.
- 轻微的医疗并发症发生在6.3%的患者中 (脑外感染,脑流).
- 轻微的神经并发症影响了29.5% (四方眼视最常见),有一个主要并发症 ( Hemianopsia).
结论:
- 在这个拉丁美洲队列中,手术的整体并发症率很低.
- 对DRE患者的早期转诊与明显更好的结果和更少的并发症相关.
- 尽管证明了安全性和益处,但由于进入障碍,使用不足仍然存在,这突显了护理方面的关键差距.
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