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术前栓塞和手术之间的时间的影响:对高血管骨转移的回顾性分析
Alexander J Acuña1, Gayathri Vijayakumar1, Neil P Buac1
1Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.
Journal of surgical oncology
|October 2, 2023
概括
对高血管性骨瘤的术前栓塞时间不会影响血液损失或手术时间. 手术可以在栓塞后24小时以上安全地进行,在某些情况下可能不需要手术.
科学领域:
- 在瘤学瘤学.
- 干预性放射学 干预性放射学
- 手术瘤学手术瘤学
背景情况:
- 超血管转移性骨病变的手术前栓塞的最佳时间尚不清楚.
- 这项研究调查了栓塞时间对高血管原发性瘤患者手术结果的影响.
研究的目的:
- 评估手术前栓塞时间对血液损失,输血风险和手术时间的影响.
- 为了确定延迟手术超过24小时后栓塞是否会影响患者的结果.
主要方法:
- 在1992年至2023年间接受手术的患有细胞或甲状腺癌的患者的回顾性分析.
- 患者被分为三组:没有手术前栓塞,在栓塞24小时内进行手术,并在栓塞24小时后进行手术.
- 使用多变量逻辑回归来分析栓塞时间对结果的影响,控制混变量.
主要成果:
- 与没有栓塞相比,在即时 (<24小时) 和延迟 (>24小时) 栓塞队伍之间没有观察到血液损失或输血风险的显著差异.
- 延迟栓塞 (栓塞后的手术>24小时) 与延长手术时间的显著更高风险没有关联.
- 该研究没有发现基于栓塞时间的评估结果的统计学上显著差异.
结论:
- 手术可以在高血管骨病变的手术前栓塞后24小时以上安全地进行,而不会增加出血风险.
- 在某些患有高血管转移性骨病变的患者群体中,术前栓塞可能不需要.
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