相关实验视频

Updated: Jan 8, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

扩散性结质瘤瘤切除后的早期术后静脉血栓栓塞:诊断和预防症状性静脉血栓塞的含义

Yoshinari Osada¹, Masayuki Kanamori¹, Shota Yamashita¹

¹Department of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan.

World neurosurgery

|December 18, 2025

概括

静脉血栓栓塞 (VTE) 在质瘤手术后很常见,早期诊断至关重要. 溶性纤维素单体复合物 (SFMC) 有助于在质母细胞瘤患者中检测VTE,防止进展.

科学领域:

神经外科神经外科
在瘤学瘤学.
血管医学血管医学

背景情况:

经过质瘤切除的患者面临着高风险的静脉血栓塞栓症 (VTE).
在这种患者群体中,早期诊断和预防VTE至关重要.
由于潜在的术后并发症,扩散性质瘤是一个重大挑战.

研究的目的:

在扩散性瘤切除后的术后第一天 (POD1) 调查静脉瘤发病率.
评估血溶性纤维素单体复合物 (SFMC) 和D-二元水平对VTE的查有效性.
分析扩散性结质瘤患者的静脉瘤管理结果.

主要方法:

81名接受扩散性质瘤切除 (2021-2023) 的患者的回顾性分析.
在POD1.1上使用D-二聚合物和SFMC水平进行VTE查.
通过增强型计算机断层扫描进行静脉瘤诊断;通过机械预防和抗凝药进行管理.

主要成果:

在81名患者中,有33名患者 (40.7%) 被诊断为VTE,主要是无症状的 (31名患者).
D-二次体和SFMC的正预测值分别为83%和68%;SFMC没有显著改善D-二次体的假阳性.
在3名质母细胞瘤患者中,SFMC发现了虚阴性D-二次体结果的静脉瘤;没有无症状的静脉瘤进展.

结论:

无症状的VTE在扩散性质瘤切除后经常发生在POD1上.
早期诊断和治疗VTE可以防止疾病进展为症状性疾病.
SFMC水平显示出改善静脉瘤检测的潜力,特别是在质母细胞瘤患者中.

关键词:

D-二聚子 D-二聚子扩散性质瘤是一种分散性质瘤.增强CT用于静脉血栓塞栓症.手术后的第1天可溶性纤维素单体复合物.静脉血栓塞栓症是一种静脉血栓塞栓症.

更多相关视频

Tumor Treating Field Therapy in Combination with Bevacizumab for the Treatment of Recurrent Glioblastoma

Tumor Treating Field Therapy in Combination with Bevacizumab for the Treatment of Recurrent Glioblastoma

Published on: October 27, 2014

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

Published on: July 5, 2021

相关概念视频

Venous Thrombosis III: Interprofessional Care

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...

Venous Thrombosis IV: Nursing Management

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...

Peripheral Artery Disease V: Postoperative Nursing Management

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

Venous Thrombosis I: Introduction

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...

Aneurysm IV: Nursing Management

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...