在头手术后静脉血栓栓塞的发生率
Ida E Albertsen1,2, Nina M Lyhne3, Torben B Larsen4,5
1Department of Otolaryngology, Head and Neck Surgery and Audiology, Aalborg University Hospital, Hobrovej 18-22, 9000, Aalborg, Denmark. i.albertsen@rn.dk.
概括
接受头手术的患者面临更高的风险静脉血栓栓塞 (VTE) 如果他们有活跃的癌症. 这项研究强调了需要更好的风险评估工具来预防这些癌症患者的VTE.
科学领域:
- 在瘤学瘤学.
- 血管外科 血管外科
- 流行病学 流行病学
背景情况:
- 静脉血栓塞栓症 (VTE) 在手术患者中存在重大风险.
- 在头部和部手术后,有关静脉瘤风险的数据是相互矛盾的,特别是关于癌症状况的数据.
研究的目的:
- 为了调查和比较经过头部和部手术的患者的VTE风险,根据癌症的存在或不存在分层.
- 为临床决策提供有关抗凝策略的信息.
主要方法:
- 一项使用丹麦国家患者登记册 (2010-2018) 的全国性队列研究.
- 包括116,953名耳鼻喉科诊断的患者.
- 根据癌症状况和特定的手术解剖区域进行分层分析.
主要成果:
- 在3个月内,癌症患者的整体VTE发病率为1.2%,没有癌症患者的0.3%.
- 在口腔/喉 (0.8%对0.2%),鼻子/鼻 (0.7%对0.2%) 和内镜 (1.3%对0.6%) 的癌症患者中观察到更高的VTE率.
- 耳部手术后没有报告VTE病例.
结论:
- 虽然VTE在头手术后不常见,但癌症显著增加了这种风险.
- 需要增强的风险分层工具来识别和管理头癌患者的VTE风险.
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