术前栓塞在颈动脉体瘤治疗中的疗效和安全性：一项倾向评分匹配回顾性队列研究。
Efficacy and safety of preoperative embolization in carotid body tumor treatment: A propensity score matching retrospective cohort study.
机构信息
Department of Vascular Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Vascular Center of Shanghai Jiaotong University, Shanghai, China.
出版信息
Head Neck. 2022 Jun;44(6):1414-1421. doi: 10.1002/hed.27038. Epub 2022 Mar 23.
BACKGROUND
To assess the efficacy and safety of preoperative embolization (PE) in patients with carotid body tumor (CBTs).
METHODS
In a single-center retrospective cohort study, 127 patients underwent surgical resection of CBTs from January 2003 to December 2019. One-to-one propensity score matching was conducted between patients with or without PE.
RESULTS
Thirty-two (25.2%) patients received PE. After propensity score matching, no statistically significant differences were found in the baseline characteristics of 28 patients in each group. Compared with NPE group, operative time and estimated blood loss (EBL) were significantly reduced in the PE group. The incidence of stroke, perioperative complications, intraoperative blood transfusion, vascular reconstruction, hospital stay, tumor recurrence, and all-cause mortality were not different between the PE and NPE group.
CONCLUSIONS
Preoperative embolization was efficient and safe with a reduction of intraoperative blood loss and operative time during CBT resection.
背景
评估颈动脉体瘤（CBT）患者术前栓塞（PE）的疗效和安全性。
方法
在单中心回顾性队列研究中，2003 年 1 月至 2019 年 12 月，127 例 CBT 患者接受手术切除。对行或不行 PE 的患者进行一对一倾向评分匹配。
结果
32 例（25.2%）患者行 PE。行倾向评分匹配后，两组各 28 例患者的基线特征无统计学差异。与 NPE 组相比，PE 组的手术时间和估计失血量（EBL）显著减少。PE 组和 NPE 组的卒中发生率、围手术期并发症、术中输血、血管重建、住院时间、肿瘤复发和全因死亡率无差异。
结论
CBT 切除术中，PE 可减少术中出血量和手术时间，且安全有效。
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