術前栓塞は,動脈瘤性骨の手術における血流と再発を減少させる:後回顧的なコホート研究

İbrahim Kaya¹, İsmet Mert Erdoğan¹, Mustafa Çeltik¹

¹Department of Orthopedics and Traumatology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey.

Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis

|August 28, 2025

まとめ

骨動脈瘤 (ABC) に対する輸血の必要性を有意に減少させる. このアプローチはまた,ABCの再発率を下げ,患者のアウトカムを改善します.

科学分野:

整形術
介入放射線学
腫瘍学

背景:

アネウリスマ性骨 (ABC) は良性で膨張性骨の病変であり,しばしば有意な血管性がある.
ABCの外科的管理は,実質的な手術中の失血と再発の顕著なリスクと関連付けられます.

研究の目的:

術前血栓の有効性を評価し,手術中の血流の減少とABC患者の輸血の必要性を軽減する.
組織病理学的に確認されたABCの再発率に対する術前血栓化の影響を評価する.

主な方法:

2004年から2023年の間にABC治療を受けた107人の患者の遡及的レビュー.
術前栓塞 (n=50) を受けた患者と受けなかった患者との結果の比較 (n=57).
推定失血量 (EBL),赤血球サスペンション (ES) 輸血量,手術時間,VASスコア,再発率の分析

主要な成果:

血栓化グループは,著しく低いEBL (772 ml vs. 1220 ml; p<0. 001) とES輸血量 (312 ml vs. 581 ml; p<0. 001) を示した.
血管栓塞を受けた患者は,より低いVAS疼痛スコア (2. 14 対 3. 61; p=0. 002) を報告した.
再発率は血栓化群で著しく減少した (8%対24. 6%; p=0. 023),手術時間は有意な違いを示さなかった.

結論:

術前栓塞は,ABCの管理において,手術中の失血と輸血の必要性を減らすための効果的な戦略です.
血管栓塞は,手術後の骨動脈瘤の再発の可能性を低下させる.
合併症や再発を最小限に抑えるために,選択されたABC症例の手術計画の一環として,手術前栓塞を考慮することが推奨されます.

キーワード:

アネウリスマ骨のキスタ骨の腫瘍エボリゼーション

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