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学科主题: 临床医学
题名:
Risk factors for major complications in surgery for hypervascular spinal tumors: an analysis of 120 cases with adjuvant preoperative embolization
作者: Tang, Benqiang1; Ji, Tao1; Tang, Xiaodong1; Jin, Long2; Dong, Sen1; Guo, Wei1
关键词: Major complication ; Risk factor ; Spinal tumor ; Spine surgery ; Selective arterial embolization
刊名: EUROPEAN SPINE JOURNAL
发表日期: 2015-10-01
DOI: 10.1007/s00586-015-4122-8
卷: 24, 期:10, 页:2201-2208
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Clinical Neurology ; Orthopedics
研究领域[WOS]: Neurosciences & Neurology ; Orthopedics
关键词[WOS]: RENAL-CELL CARCINOMA ; TRANSARTERIAL EMBOLIZATION ; MEDICAL COMPLICATION ; SURGICAL-TREATMENT ; CENTER EXPERIENCE ; SINGLE-CENTER ; BLOOD-LOSS ; METASTASES ; LUMBAR ; SURVIVAL
英文摘要:

Purpose To determine the frequency of major complications and identify related risk factors in surgery for hypervascular spinal tumors after preoperative selective arterial embolization.

Methods Patients with spinal tumors who underwent preoperative embolizations between January 2010 and March 2013 were retrospectively reviewed. Perioperative complications were classified as either major or minor. Preoperative and intraoperative factors were analyzed for any association with major complications using univariate and multivariate regression analysis.

Results There were 120 embolizations with subsequent 120 spine operations that met the inclusion and exclusion criteria. Overall, 27.5 % (33/120) experienced major complications and 11.7 % (14/120) had at least two major complications. Respiratory complications were the most commonly seen with a rate of 10.8 % (13/120). Multivariate regression analysis identified two risk factors for major complications: reoperation and higher score of surgical invasiveness index. Two risk factors were identified for two or more major complications: age a parts per thousand yen65 years and higher score of surgical invasiveness index. Two risk factors were identified for major respiratory complications: thoracic surgery and higher score of surgical invasiveness index. However, embolization-related factors did not reach significance in the multiple regression model.

Conclusion Major complications in surgery for hypervascular spinal tumors after embolization are prevalent. Risk factors identified in this study are useful prognostic indicators when considering surgical treatment combined with embolization.

语种: 英语
WOS记录号: WOS:000362320200015
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54134
Appears in Collections:北京大学第二临床医学院_骨肿瘤科_期刊论文

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作者单位: 1.Peking Univ, Peoples Hosp, Musculoskeletal Tumor Ctr, Beijing 100044, Peoples R China
2.Peking Univ, Peoples Hosp, Dept Radiol, Beijing 100044, Peoples R China

Recommended Citation:
Tang, Benqiang,Ji, Tao,Tang, Xiaodong,et al. Risk factors for major complications in surgery for hypervascular spinal tumors: an analysis of 120 cases with adjuvant preoperative embolization[J]. EUROPEAN SPINE JOURNAL,2015,24(10):2201-2208.
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