术前栓塞可减少动脉瘤骨囊手术中的血液流失和复发:一项回顾性队列研究
İbrahim Kaya1, İsmet Mert Erdoğan1, Mustafa Çeltik1
1Department of Orthopedics and Traumatology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey.
概括
术前栓塞可显著减少动脉瘤骨囊 (ABC) 的血液流失和输血需求. 这种方法还降低了ABC的复发率,改善了患者的治疗结果.
科学领域:
- 骨科手术
- 干预性放射学
- 癌症学
背景情况:
- 动脉瘤骨囊 (ABC) 是良性,扩张性骨损伤,通常具有显著的血管性.
- 手术治疗ABC可能会导致大量的手术内流血和明显的复发风险.
研究的目的:
- 评估手术前栓塞的有效性,以减轻手术期间流血和输血需求.
- 评估手术前栓塞对组织病理确认的ABC复发率的影响.
主要方法:
- 在2004年至2023年期间接受ABC治疗的107名患者的回顾性评估.
- 接受手术前栓塞的患者 (n=50) 和没有接受栓塞的患者 (n=57) 的结局比较.
- 估计血液损失 (EBL),红细胞悬浮 (ES) 输血量,手术时间,VAS分数和复发率的分析.
主要成果:
- 血栓化组的EBL (772毫升与1220毫升相比;p< 0. 001) 和ES输血量 (312毫升与581毫升相比;p< 0. 001) 显著降低.
- 进行栓塞的患者报告了较低的VAS疼痛评分 (2. 14对3. 61; p=0. 002).
- 血液栓塞组的复发率显著降低 (8%对24. 6%; p=0. 023),而手术时间没有显著差异.
结论:
- 术前栓塞是一种有效的策略,用于减少手术期间的血液流失和输血需求.
- 血管栓塞与术后瘤骨复发的可能性降低有关.
- 建议在选择的ABC病例中考虑术前栓塞作为手术计划的一部分,以尽量减少并发症和复发.
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