舌头癌部分光切除术后晚期术后出血的危险因素
Hidehito Matsui1,2, Takashi Mukaigawa1, Seiya Goto1
1Division of Head and Neck Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Acta oto-laryngologica
|February 12, 2024
概括
在舌头癌症手术后的晚期术后出血是常见的. 年轻的患者和接受多糖醇酸片的人面临更高的风险,这表明初级关闭可能会降低出血频率.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 手术瘤学手术瘤学
背景情况:
- 部分光切除术是早期舌头癌症的标准.
- 术后晚期出血是已知的并发症,但风险因素尚不清楚.
研究的目的:
- 确定经过口腔部分光切除术后晚期术后出血的发生率和风险因素.
- 评估经过部切割或不进行部切割的患者的出血情况.
主要方法:
- 对接受过口腔部分光切除术的211名患者的回顾性分析 (2016年1月 - 2023年1月).
- 用单变量和多变量逻辑回归分析来确定晚出血的危险因素.
主要成果:
- 19%的患者经历了术后晚期出血 (40/211).
- 年龄较小 (70岁以下) 和使用多糖醇酸 (PGA) 片与出血风险增加有关 (所有等级).
- 抗凝剂/血小板使用,纤维素和PGA片与严重出血 (等级≥IIIa) 相关联.
结论:
- 手术部位的初级关闭可能会减少晚期术后出血的发生率.
- 识别有风险的患者可以指导舌头癌症手术的预防策略.
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