在内镜外科手术中流失血液的相关因素
Yamato Oki1, Hiromitsu Hatakeyama1, Kouzi Yamamoto2
1Otolaryngology, Yokohama City University Medical Center, Yokohama, JPN.
Cureus
|January 24, 2025
概括
在内镜鼻手术期间的手术内流血受到手术时间和患者病史等因素的影响. 高隆德-麦凯分数和延长的前列血时间-国际规范化比率 (PT-INR) 需要对安全程序进行仔细关注.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 医疗工程 医学工程
背景情况:
- 透视鼻外科手术 (ESS) 随着新技术和技术的发展而进步.
- 欧洲神经系统带有风险,包括手术期间流血,影响手术安全.
- 识别导致血液流失的因素对于改善ESS结果至关重要.
研究的目的:
- 在接受ESS的患者中,调查与手术内流血相关的变量.
- 分析患者特征,鼻病理和手术期间出血之间的关系.
主要方法:
- 在9年内对518名接受ESS治疗的患者进行了追溯分析.
- 数据收集包括患者背景,鼻病理和血液学结果.
- 使用多变量线性回归分析来确定显著因素.
主要成果:
- 血液损失的重要预测因素包括前热血素时间-国际正常化比率 (PT-INR),隆德-麦凯得分,手术时间和重复手术.
- 较高的隆德-麦凯得分与增加的血液损失相关 (73毫升,增加5至14分).
结论:
- 对于重复手术,预计的长期手术时间,高隆德-麦凯分数和升高的PT-INR,建议采取手术前措施.
- 对于在ESS期间Lund-Mackay分数高的患者来说,对手术期间流血的细致关注是必不可少的.
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