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脊髓转移手术前栓塞的现状 - - 由EANS脊柱部门进行的一项调查

Stefan Motov^1,2, Felix Stengel^1,2, Florian Ringel³

¹Department of Neurosurgery, Kantonsspital St. Gallen & Medical School of St. Gallen, St.Gallen, Switzerland.

|November 29, 2023

概括

脊柱瘤的手术前栓塞 (PE) 在欧洲并不常见. 外科医生选择性地使用PE治疗高血管瘤,通常是在手术前,注意到减少了血液损失,但也有风险.

科学领域:

神经外科神经外科
干预性放射学干预性放射学
在瘤学瘤学.

背景情况:

手术前栓塞 (PE) 旨在减少瘤血液供应在脊髓转移.
关于PE时间和性能的决策在脊椎外科医生之间有所不同.

研究的目的:

调查欧洲脊柱中心手术前栓塞的当前决策过程.

主要方法:

欧洲神经外科协会 (EANS) 脊柱部门分发了一项13项在线调查.
该调查针对2023年2月至5月的神经外科住院医生和董事会认证的神经外科医生.

主要成果:

分析了120个响应;62%的人不经常进行PE.
对于脊椎体置换病例,PE被选择性地使用 (25%),通常在单独麻醉中在手术前<24小时.
经验丰富的外科医生观察到血液损失减少 (p=0.014),但发生了神经系统恶化和胀等并发症.

结论:

在欧洲,手术前栓塞并不是脊髓转移的标准做法.
它主要被认为是选择性,高血管化的瘤,在减少血液损失方面有着明显的好处,但伴随着风险.

关键词:

血管学血管学血管学失血是因为失去血液.复杂性复杂性复杂性转移转移转移转移在手术前进行栓塞.脊柱瘤是一种瘤.

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