Öztürk Recep, Ayhan Batuhan, Yoğurt Samet Batuhan, Beltir Galip, Güngör Bedii Şafak
Dr Abdurrahman Yurtaslan Ankara Onkoloji Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji, Demetevler, Mahallesi, Vatan Cad., Yenimahalle, 06200 Ankara, Turkey.
Kırşehir Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji, Kırşehir, Turkey.
Indian J Orthop. 2023 May 27;57(9):1401-1408. doi: 10.1007/s43465-023-00908-4. eCollection 2023 Sep.
The aim of this study was to evaluate the role of preoperative embolization in the management of aneurysmal bone cysts.
In this study, the data of a total of 19 patients, 11 females and 8 males, with a mean age of 19.6 (range 5-46 years), who were operated on in our hospital with the diagnosis of ABC between January 2015 and January 2021 were retrospectively analyzed. In the specified date range, there were 10 patients with a diagnosis of ABC who were operated on within 48 h after preoperative embolization. For statistical comparison, 9 patients who were operated on without embolization in the same date range were included as the control group.
The mean age of the study group was 16.7 (between 5 and 27 years), while the mean age of the control group was 22.6 (between 16 and 46 years). In the embolization group (group I), the mean intraoperative blood loss was 550 mL (100-1200 mL), the mean intraoperative blood transfusion was 270 mL (0-900 mL), and the mean surgical time was 85 min. In the non-embolization group (group II), the mean intraoperative blood loss was 1250 mL (600-2200 mL), the mean intraoperative blood transfusion was 450 mL (450-1800 mL), and the mean surgical time was 90 min. In comparison, a statistically significant difference was found between the embolization group and the non-embolization group in terms of blood loss and blood transfusion requirement ( = 0.011 and = 0.017, respectively). The mean surgery time was slightly shorter in the embolized group, and there was no significant difference in surgical time between the two groups ( = 0.821).
Evidence suggests that preoperative embolization of an aneurysmal bone cyst, performed 0-48 h before surgery, can result in a reduction in intraoperative blood loss and intraoperative blood transfusion volume.
本研究的目的是评估术前栓塞在动脉瘤样骨囊肿治疗中的作用。
本研究回顾性分析了2015年1月至2021年1月期间在我院接受手术治疗、诊断为动脉瘤样骨囊肿的19例患者的数据，其中女性11例，男性8例，平均年龄19.6岁（范围5 - 46岁）。在指定日期范围内，有10例诊断为动脉瘤样骨囊肿的患者在术前栓塞后48小时内接受了手术。为进行统计学比较，将同一日期范围内未进行栓塞而接受手术的9例患者作为对照组。
研究组的平均年龄为16.7岁（5至27岁），而对照组的平均年龄为22.6岁（16至46岁）。栓塞组（I组）术中平均失血量为550毫升（100 - 1200毫升），术中平均输血量为270毫升（0 - 900毫升），平均手术时间为85分钟。非栓塞组（II组）术中平均失血量为1250毫升（600 - 2200毫升），术中平均输血量为450毫升（450 - 1800毫升），平均手术时间为90分钟。相比之下，栓塞组和非栓塞组在失血量和输血需求方面存在统计学显著差异（分别为=0.011和=0.017）。栓塞组的平均手术时间略短，两组手术时间无显著差异（=0.821）。
有证据表明，术前0 - 48小时对动脉瘤样骨囊肿进行栓塞可减少术中失血量和术中输血量。
