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在内镜内骨头底部手术后的脆弱性和术后结果:一个范围审查

Sofia E Olsson^1,2, Ashleigh Halderman³, Matthew W Ryan⁴

¹Anne Burnett Marion School of Medicine, Texas Christian University, Fort Worth, TX, USA.

Ear, nose, & throat journal

|September 17, 2025

概括

脆弱性评估,特别是修改后的脆弱性指数-5 (mFI-5),可以帮助预测在内镜内骨底部手术 (EESBS) 后的长时间住院和再入院. 为了在EESBS结果中一致使用脆弱性指数,需要进一步的研究.

科学领域:

神经外科神经外科
耳鼻喉科耳鼻喉科耳鼻喉科
老年医学老年医学

背景情况:

虚弱与手术中较差的结果有关.
关于脆弱性对内镜内骨底部手术 (EESBS) 结果的影响的了解有限.

研究的目的:

进行现有文献的范围审查.
在EESBS中分析脆弱性和术后结果之间的关系.

主要方法:

使用的范围审查方法.
在多个数据库 (PubMed,Cochrane等) 进行的搜索. ) 的情况.
用于研究选择的PRISMA指南,确定了四项相关研究 (2020-2023年).

主要成果:

分析了1306名患者;平均年龄为54.1岁.
更高的修改脆弱指数-5 (mFI-5) 与停留时间和再录取时间的增加相关.
美国麻醉学会 (ASA) 高级分类与严重并发症和永久性无味糖尿病有关.
查尔森并发症指数 (CCI) 显示,与研究的并发症没有关联.
虚弱与手术并发症,内分泌问题,视觉结果或生活质量没有很强的联系.

结论:

像mFI-5这样的脆弱性指数可以预测特定的EESBS术后结果.
需要进一步的研究,专注于内镜内的方法.
软弱指数和分析方法的标准化对于未来的研究至关重要.

关键词:

美国麻醉学会的麻醉师分类.查尔森并发症指数是指查尔森并发症指数.内镜内骨底部手术内镜内骨底部手术脆弱脆弱脆弱脆弱脆弱修改过的脆弱指数.

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