摘要
目的 评价脑膜瘤术前栓塞的临床效果及安全性。方法 将27例术前栓塞病例与131例非栓塞病例按病变大小、部位和患者性别进行配对分析,观察两组间平均术中失血量、平均输血量和平均术后恢复时间的差异。记录并分析栓塞组患者的栓塞后并发症。结果 栓塞组各变量平均值均低于非栓塞组,平均失血量分别为(1402.97±1171.60)和(1852.94±993.40)ml,平均输血量分别为(1325.53±1040.15)和(1747.06±959.24)ml,平均术后恢复时间分别为(30.18±20.24)和(33.29±27.54)d,其中平均失血量和平均输血量的差异具有统计学意义。栓塞组病例未发生严重栓塞后并发症。结论 脑膜瘤术前栓塞对减少术中出血,降低手术难度是安全有效的。
Objective To evaluate the clinical efficacy and safety of presurgical embolization of meningiomas. Methods Matched analysis of samples of embolized and nonembolized groups of meningiomas were observed for variables of clinical efficacy in estimated blood loss, number of transfusions and length of post-operative recovery. Results All mean value of variables of embolized group, were lower than that of non-embolized (estimated blood loss, 1402.97±1171.60 ml versus 1852.94 ± 993.40 ml; number of transfusions, 1325.53 ± 1040.15 ml versus 1747.06 ± 959.24 ml; length of post surgical recovery, 30.18 ± 20.24 days versus 33.29±27.54 days); however, only the estimated blood loss and number of transfusionsvariables were significant. There were no major complications caused by the embolization procedure. Conclusion Endovascular devascularization of meningiomas is beneficial for meningiomas because it diminishes the necessity of intra operative transfusion and decreases blood loss. Otherwise the embolization procedure is safe.
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2003年第2期168-171,共4页
Acta Academiae Medicinae Sinicae
关键词
脑膜瘤
术前栓塞
meningioma
preoperative embolization
