在手术前的中脑膜动脉栓塞与慢性腹腔内血瘤的复手率降低有关
Hamza Adel Salim1,2, Waseem Shehadeh1, Orabi Hajjeh1
1Department of Neuroradiology, MD Anderson Medical Center, Houston, TX, USA.
概括
与手术后的MMAE相比,手术前的中脑膜动脉栓塞 (MMAE) 显著减少了重复手术的发生率. 这种时间影响患者的治疗结果,但不影响死亡率.
科学领域:
- 神经外科
- 干预性放射学
背景情况:
- 中脑膜动脉栓塞 (MMAE) 是慢性皮下血瘤 (cSDH) 的新兴辅助疗法.
- 与手术疏散相比,MMAE的最佳时间尚未确定.
研究的目的:
- 评估MMAE时间 (手术前和手术后) 对cSDH患者6个月后的结果的影响.
- 在手术前和手术后的MMAE组中比较重复手术和死亡率.
主要方法:
- 使用TrinetX数据库进行回顾性队列研究.
- 包括使用辅助MMAE进行手术的非创伤性cSDH的成年患者.
- 使用1:1的倾向分数匹配来平衡基线特征.
主要成果:
- 分析了每个组的169名患者 (手术前和手术后的MMAE).
- 手术前的MMAE与重复手术的几率显著降低 (7. 1% 与 17. 8% 相比; OR 0. 35, p=0. 003).
- 两组之间没有发现6个月全因死亡率的显著差异.
结论:
- 在手术前的MMAE与cSDH患者在6个月后重复手术的几率降低有关.
- 研究结果表明,在cSDH手术规划过程中,应考虑MMAE的时间.
- 建议进行进一步的前性研究以证实这些结果.
相关概念视频
Cardiomyopathy VII: Pre and Post Operative Nursing Management
461
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
461
Peripheral Artery Disease V: Postoperative Nursing Management
637
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
637
Aneurysm IV: Nursing Management
625
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
625


