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局部静血剂和经过口腔机器人手术后术后出血的风险
1Department of Otolaryngology-Head and Neck Surgery, Southern Illinois University School of Medicine, Springfield, IL, USA.
Ear, nose, & throat journal
|February 21, 2024
概括
经过口腔机器人手术 (TORS) 后的术后出血被评估. 与用血 (PgMT) 进行的猪肉凝矩阵与用血 (BgMT) 进行的牛肉凝矩阵相比,显示出较少的总出血事件,但严重出血率相似.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 手术后出血是跨口机器人手术 (TORS) 的常见并发症.
- 有限的研究存在于TORS期间使用的局部血液静止剂的疗效.
- 局部静血剂被广泛用于在TORS手术中控制出血.
研究的目的:
- 评估TORS后手术后出血的频率和严重程度.
- 为了比较在TORS中使用的不同局部静血剂的结果.
- 评估从含有血栓素的牛肉凝矩阵 (BgMT) 转换为含有血栓素 (PgMT) 的猪肉凝矩阵的影响.
主要方法:
- 在2015年1月1日至2020年4月1日期间接受TORS的成年患者的回顾性审查.
- 收集的数据包括手术后出血事件,使用的止血剂和患者人口统计数据.
- 由一个机构的单一外科医生进行的手术,在2017年改变了静血剂.
主要成果:
- 总共分析了80个TORS程序.
- 牛肉凝矩阵与血素 (BgMT) 组 (28 个程序) 的出血率为 17.8% (2 个严重事件).
- 猪肉凝矩阵与血素 (PgMT) 组 (52 个程序) 的出血率为 1.92% (1 小事件).
- 在总出血事件中观察到显著差异 (P = .0183),但在严重事件中没有 (P = .1196).
- 大型和严重的术后出血的总比率为2.5%.
结论:
- 猪肉凝矩阵与血素 (PgMT) 与TORS中总术后出血的发病率较低有关.
- 两种药物之间严重出血事件的发生率没有显著差异.
- 局部止血剂对于在TORS中管理出血风险非常有价值,特别是在呼吸道出血方面.
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