后侧上位与后侧位对于后侧上位大脑病理:一个两中心的回顾性比较研究
Domenico Policicchio1, Giuseppe Mauro1, Erica Lo Turco1
1Department of Neurosurgery, Azienda Ospedaliero Universitaria "Renato Dulbecco" di Catanzaro, Catanzaro (CZ), Italy.
British journal of neurosurgery
|March 17, 2026
概括
倾斜的和横向的定位为后部 supratentorial 手术提供了类似的结果. 选择位置应该优先考虑手术策略和团队经验,而不是患者或病理学特征.
科学领域:
- 神经外科 神经外科
- 手术定位手术定位手术定位
背景情况:
- 后面的 supratentorial 病理可以在倾斜或横向的位置操作.
- 最佳定位策略仍在讨论中,需要根据患者和病理因素评估结果.
研究的目的:
- 为了比较后部区域中 supratentorial大脑病理的倾斜和横向定位之间的临床结果.
- 确定患者或病理学特征是否影响手术位置的选择.
主要方法:
- 一项对58名患者的回顾性研究,这些患者患有后侧上脑病理.
- 分析患者数据 (年龄,并发症,BMI) 和病理特征 (位置,体积,深度,组织学).
- 在倾斜和横向组之间比较切除率,手术并发症和与定位相关的并发症.
主要成果:
- 在倾斜和横向组之间没有观察到患者或病理特征的显著差异.
- 两种位置的切除率和并发症率都相当.
- 虽然倾斜的定位可能有助于骨附着病理的半球间解剖,横向的定位可能有助于更大的骨切割,但没有任何因素显著影响了基于位置的结果.
结论:
- 倾斜和横向的定位为后部上外科手术带来了可比的临床结果.
- 没有特定的患者或病理因素明确地有利于一个位置而不是另一个位置.
- 手术策略和团队经验应指导选择定位.
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