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对于初级视神经外脑膜瘤的内镜内侧治疗方法:系统性审查
Shayndhan Sivanathan1, Jessica Al-Rabadi2, Kyle Gregor Alexander3
1Oxford University Hospitals NHS Foundation Trust; Department of Neurosurgery, Oxford University Hospitals, Oxford, OX3, United Kingdom.
World neurosurgery
|January 22, 2026
概括
内镜内外科手术 (EEA) 是对初级视神经膜脑膜瘤 (ONSM) 的安全有效的最小侵入性选择,可在选定的患者中保持视力. 需要进一步的研究,以获得最佳的时间和与放射治疗的整合.
科学领域:
- 神经外科 神经外科
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
背景情况:
- 初级视神经膜脑膜瘤 (ONSM) 是一种罕见的瘤,导致视力丧失.
- 目前的管理是有争议的,放射治疗具有相关的风险.
- 内镜内腔方法 (EEA) 提供了一种微创手术替代方案.
研究的目的:
- 评估EEA在初级ONSM中对视神经减压的有效性和安全性.
- 专注于与EEA相关的视觉结果和并发症.
- 评估EEA作为一种维护视觉功能的治疗选择.
主要方法:
- 按照PRISMA指南进行系统审查.
- 包括报告EEA的研究,用于16岁以上患者的初级ONSM.
- 收集了视力敏度 (VA),视野和并发症的术后数据.
主要成果:
- 包括来自5项研究的13名患者.
- 在5/13例患者中,术后的VA改善,在7/13例患者中保持稳定.
- 一名先前视力不佳的患者经历了恶化;没有报告任何并发症.
结论:
- 对于精选的初级ONSM病例来说,EEA是一种安全有效的最小侵入性方法.
- 欧洲经济区可以帮助保护受到威胁的视力.
- 需要进一步研究最佳时间,长期疗效和放射治疗整合.
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