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脑下垂体瘤的手术治疗导致耐火性:一个系统性审查
Nausherwan Hussain1, Muhammad Usman Khalid1, Aliya Szpindel2
1Kentucky Neuroscience Institute (KNI), UK Comprehensive Epilepsy Program, Department of Neurosurgery, University of Kentucky, Lexington, KY, USA.
概括
脑下垂体瘤 (HHs) 的手术治疗有效控制了耐火性. 激光间歇性热疗法 (LITT) 和射频热凝固 (RF-TC) 提供了最好的控制与更少的并发症.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
背景情况:
- 脑下垂体瘤 (HHs) 是耐火性焦点的一个已知的原因.
- 显微手术和立体术废除技术的进步旨在改善HHs的结果.
- 不同的手术干预对HHs的控制的有效性需要彻底评估.
研究的目的:
- 系统地审查和分析各种手术治疗的结果,对导致耐火性的下丘脑瘤.
- 为了比较不同手术方式的有效性和并发症率.
主要方法:
- 在MedLine,SCOPUS和Cochrane数据库中进行了全面的文献搜索.
- 包括包括英语语言研究,至少有三名患者和至少一年的随访.
- 分析了开放,内镜,玛刀放射性手术 (GKRS),激光间歇性热疗法 (LITT) 和射频热凝固 (RF-TC) 研究的数据.
主要成果:
- 包括41项涉及832名患者的研究,详细介绍了开放,内镜,GKRS,LITT和RF-TC的结果.
- 在55.0%的患者中 (开放式),47.5% (内镜),39.5% (GKRS),76.9% (LITT) 和67.4% (RF-TC) 的患者中实现了恩格尔类I或ILAE1或2控制.
- 废除性手术 (GKRS,LITT,RF-TC) 与侵入性手术 (27.0%) 相比,神经复发率较低 (7.2%),但重复手术率较高 (23.8%与9.0%).
结论:
- 手术干预是导致耐火性的下丘脑瘤的有效治疗方法.
- 激光间歇性热疗法 (LITT) 和射频热凝固 (RF-TC) 显示了恩格尔I类结果的最高率.
- 废除性手术方法比开放式或内镜手术提供了更有利的神经复杂性概况.
关键词:
内镜外科手术是一种内镜外科手术.玛刀放射手术 射线手术脑下垂体的哈马尔托马瘤激光切除术是一种激光切除术.激光间歇性热疗法是一种激光间歇性热疗法.开放式切除 开放式切除无线电频率热凝固疗法耐火性是一种耐火性.更多相关视频
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