术前栓塞对组织病理学非高血管脊髓转移的结果的影响:一种倾向性得分匹配的研究
Ting-Wei Liao1,2, Yu-Cheng Huang2,3, Yen-Heng Lin2,3
11Department of Medical Imaging, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu.
Journal of neurosurgery. Spine
|October 17, 2025
概括
手术前栓塞 (PrE) 减少了非高血管转移的脊柱手术中的血液损失. 患有放射性超增强或正在接受侵入性手术的患者最能从PRE中获益,因为它可以减少大量的血液损失.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
背景情况:
- 术前栓塞 (PrE) 是为高血管脊柱瘤建立的.
- 它在非高血管脊髓转移中的作用不太清楚.
- 这项研究调查了PrE在非高血管脊髓转移中的疗效.
研究的目的:
- 为了评估PRE在减少非高血管脊髓转移手术期间流血的有效性.
- 为了评估与PRE相关的术后结果在这个患者群体.
主要方法:
- 对152名患有非高血管胸脊髓转移的患者进行了回顾性研究 (2018年1月-2022年12月).
- 倾向性得分匹配创造了55对,比较了带有和没有PRE的患者.
- 分析了手术结果,包括估计的血液损失 (EBL),输血,手术时间和死亡率.
主要成果:
- PrE组的整体EBL显著降低 (600毫升与900毫升相比,p=0.02).
- 大规模EBL (≥2500毫升) 的发病率在预先试验组中较低 (5.5%与18.2%,p=0.03).
- 没有发现输血,手术时间,再手术或死亡率的显著差异;发生了一例与PrE相关的脊髓梗塞.
结论:
- 在非高血管脊髓转移手术中,PrE显著降低了EBL.
- 手术前放射性超增强或接受高度侵入性手术的患者在减轻大规模EBL方面可能会获得更大的好处.
- 对于某些患有非高血管脊髓转移的患者来说,PrE是一种可行的选择.
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