在慢性腹腔下血瘤中,腹腔下疏散端口系统 (SEPS) 和中脑膜动脉栓塞 (MMAE) 的有效性
Vinay Jaikumar1,2, Jaims Lim1,2, Patrick Wahlig3
1Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
概括
结合体外疏散端口系统 (SEPS) 和中脑膜动脉栓塞 (MMAE) 在老年患者中有效治疗慢性体外血瘤 (cSDH). 这种微创手术方法显著减少了血瘤体积,并发症率低.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 老年医学 老年医学
背景情况:
- 针对慢性腹腔内血瘤 (cSDH) 的切术在患有并发症的老年患者中带来了挑战.
- 腹腔疏散端口系统 (SEPS) 提供了一种不那么侵入性的手术选择.
- 中脑膜动脉栓塞 (MMAE) 有效地预防cSDH复发.
研究的目的:
- 评估SEPS和MMAE在cSDH治疗中的联合有效性和安全性.
- 在接受SEPS + MMAE联合治疗的患者中评估血瘤体积减少和并发症率.
主要方法:
- 在2021年1月至2024年4月期间接受SEPS+MMAE治疗的35名cSDH患者的回顾性评估.
- 对人口统计,并发症,程序细节和结果的分析.
- 在手术前,手术后24-48小时,手术后6-8周,通过CT扫描追踪cSDH分辨率.
主要成果:
- 在35名老年患者中 (平均年龄为77岁) 治疗了41名cSDH.
- 在手术后24-48小时,cSDH的中位数体积减少了38%,在手术后6-8周减少了81%.
- 只有17.1%的患者需要因残留/复发cSDH重新入院,其中4.9%需要切除.
结论:
- 结合SEPS + MMAE方法是老年患者cSDH的有效治疗方法.
- 这种微创策略与显著的血瘤减少和低并发症率有关.
- 对于精选的cSDH患者来说,SEPS + MMAE代表了传统切除术的有希望的替代方案.
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