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怀孕期间的静脉瘤:一个病例系列
Jie Lily Huang1, Hesham Khalid1, Robert Chessman1
1Department of ENT and Skull Base, Atkinson Morley Wing, St George's Hospital NHS Foundation Trust, London, United Kingdom.
Journal of neurological surgery. Part B, Skull base
|March 11, 2026
概括
怀孕和前庭神经瘤 (VS) 是罕见的,通常呈现为需要复杂的手术管理的大型瘤. 对被诊断患有VS的生育年龄妇女来说,仔细的咨询和个性化护理至关重要.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 产科和妇科 产科和妇科
背景情况:
- 静脉神经瘤 (VS) 是一种良性内瘤,通常以保守的方式管理.
- 怀孕期间的VS很少见,对激素对瘤生长的影响的理解有限.
- 以前的研究表明,孕妇患者可能有更大的瘤和增加的手术风险.
研究的目的:
- 描述周周前置性脑瘤的特征和治疗方法.
- 为了评估怀孕患者与VS的母亲和婴儿的结果.
- 评估怀孕期间与VS相关的手术挑战和并发症.
主要方法:
- 从2017年到2023年,在一家三级医院对540个零星的VS病例进行了回顾性审查.
- 确定了5名患者 (1%) 怀孕或最近产后.
- 分析了管理策略,手术干预和结果.
主要成果:
- 所有五个周周VS病例都涉及瘤>30毫米,需要进行跨迷宫切除.
- 手术管理包括手术内哺乳期休息和脑脊髓液短路.
- 所有患者都实现了完整的面部神经功能,并分娩出了健康的婴儿;一个经历了CSF泄漏.
结论:
- 怀孕与更大的前庭神经瘤和复杂的手术考虑有关.
- 患有VS的生育年龄妇女需要关于瘤大小和外科手术影响的彻底咨询.
- 多学科管理对于优化外围VS病例的结果至关重要.
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