细胞癌骨转移手术中的失血和输血动态:风险因素和生存影响
Mustafa Çeltik1, Ahmet Safa Deniz1, Resul Bircan1
1Department of Orthopedics, Ankara Oncology Research and Training Hospital, Ankara, Turkey.
概括
年龄较大和女性性别预测细胞癌 (RCC) 骨转移手术期间的血液损失较高. 手术前的血红蛋白水平是这些手术后患者生存结果的关键预测指标.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 细胞癌 (RCC) 可以转移到骨,需要手术干预.
- 预测手术期间输血和生存结果对于治疗RCC骨转移的患者至关重要.
研究的目的:
- 为了确定手术期间流血的预测因素.
- 为了确定RCC骨转移手术的患者的生存结果的预测因素.
主要方法:
- 在2013年至2024年期间治疗的27名RCC骨转移患者的回顾性分析.
- 使用纳德勒公式和Hb平衡方法计算的手术内流血损失.
- 术后2年和5年评估的生存结果;统计分析包括t测试,ANOVA和线性回归.
主要成果:
- 平均手术期间输血量为1632.62毫升;85.2%的患者需要输血.
- 年龄较大 (≥60岁) 和女性性别与较高的血液损失显著相关 (分别为p=0.039和p=0.008).
- 手术前血红蛋白<115 g/L显著与降低的5年 (p=0.013) 和2年 (p=0.045) 存活率相关.
结论:
- 高龄和女性性别是RCC骨转移手术中手术期间血流增加的重要预测因素.
- 手术前的血红蛋白水平是患者生存的强有力的预测指标.
- 瘤的大小和位置并没有显著影响血液流失,强调需要量身定制的手术前规划和血液保存策略.
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