在结核 sellae 脑膜瘤的内镜内鼻治疗方法后的视觉结果,系统性审查和元分析
Cheng-Chi Lee1,2, Ting-Wei Chang1, Yu-Chi Wang1,3
1Department of Neurosurgery, Chang Gung Memorial Hospital at Linkou and Chang Gung University, Taoyuan, Taiwan.
International journal of surgery (London, England)
|January 20, 2026
概括
内镜内视疗法 (EEA) 为结核 sellae 脑膜瘤 (TSM) 提供了有效的视力恢复. 这种方法显示,与传统的跨骨方法相比,视力改善或视力稳定率更高.
科学领域:
- 神经外科 神经外科
- 眼科医生 眼科 眼科
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 结核 sellae 脑膜瘤 (TSM) 是一种手术治疗的瘤.
- 维护或恢复视力是TSM的主要手术目标.
- 内镜内视疗法 (EEA) 是一种替代性的外科手术技术.
研究的目的:
- 通过EEA系统地审查和元分析TSM切除后的视觉结果.
- 为了比较EEA和传统的跨 approach (TCA) 之间的视觉结果.
主要方法:
- 在PubMed,EMBASE和Cochrane CENTRAL的系统文献搜索到2024年9月.
- 包括回顾性研究,报告TSM切除后手术后视力状况.
- 综合视觉结果的元分析 (视力改善/稳定,仅视力改善) 和EEA与TCA的比较.
主要成果:
- 32项研究包括1174名EEA和1199名TCA患者.
- 在EEA之后,改善/稳定的视力率为93%,仅视力改善为77%.
- 与TCA相比,EEA显示视觉改善/稳定性 (OR 2.09) 和单独改善 (OR 2.28) 的几率明显更高.
结论:
- 在TSM切除中,EEA对有利的视觉结果有效.
- 在视力恢复方面,EEA可能会比TCA提供优势.
- 需要进一步的前性研究来证实由于追溯数据的局限性而导致的发现.
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