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论“为不明病变活检获取 Meckel 氏腔的途径:一项系统性综述”。

Comment on - "Access to Meckel's cave for biopsies of indeterminate lesions: a systematic review".

机构信息

Lab in Biotechnology and Biosignal Transduction, Department of Orthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai-77, Tamil Nadu, India.

出版信息

Neurosurg Rev. 2024 Oct 8;47(1):743. doi: 10.1007/s10143-024-02988-8.

Abstract

Accessing Meckel's cave for biopsies of indeterminate lesions presents significant surgical challenges. This systematic review evaluates various approaches, with a focus on minimally invasive endoscopic techniques. A review of 75 studies reveals that the endoscopic endonasal transpterygoid approach offers improved visualization, reduced morbidity, and favorable outcomes, as demonstrated by an illustrative case of diffuse large B-cell lymphoma. While promising, further studies are needed to assess long-term efficacy and patient outcomes, and comparative research between endoscopic and traditional approaches is recommended for future investigation.

摘要

经蝶窦入 Meckel 腔活检不明性质病变具有较大的手术挑战。本系统评价评估了多种方法,重点关注微创内镜技术。对 75 项研究的综述表明,内镜经鼻蝶入路翼突能够改善可视化效果,降低发病率,改善预后,通过弥漫性大 B 细胞淋巴瘤的病例得到了证实。虽然前景可观,但仍需要进一步研究来评估长期疗效和患者结局,建议对内镜和传统方法进行比较研究,以作进一步探索。

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