GIPERVASKULYAR MENINGIOMALARINI DAVOLASHDA OPERATSIYA DAVOMIDAGI QON YO‘QOTISHINI PROGNOZ QILISH VA OPERATSIYADAN OLDINGI EMBOLIZATSIYANING AHAMIYATI

##article.authors##

  • Eshquvatov Gayrat Erkinovich
  • Asadullaev Ulugbek Maksudovich
  • Yakubov Jahongir Bahodirovich
  • Xojimetov Dilshod Naimovich

##article.subject##:

miya meningiomalari, gipervaskulyarizatsiya, operatsiyadan oldingi embolizatsiya, operatsiya davomida qon yo‘qotish, jarrohlik yo‘li bilan olib tashlash, bashorat qilish usuli

##article.abstract##

Maqolada gipervaskulyarizatsiyalangan miya meningiomalarini davolashda operatsiyadan oldingi embolizatsiyaning samaradorligi baholanadi va operatsiya davomida qon yo‘qotilishini prognoz qilish usuli taqdim etiladi. Tadqiqotga 93 nafar bemor kiritilgan bo‘lib, ulardan 42 nafariga operatsiyadan oldin embolizatsiya qilingan, 51 nafar bemor faqat jarrohlik yo‘li bilan o‘simta olib tashlangan. Embolizatsiya qon yo‘qotish hajmini 1,8 marta kamaytirdi (471,4±41,6 ml ga nisbatan 834,3±54,4 ml) va gemotransfuziya hajmini 2,5 marta kamaytirdi (116,6±36 ml ga nisbatan 291,2±43,4 ml). Bashorat qilish usuli qon yo‘qotish bilan bog‘liq xavflarni baholashda yuqori aniqlikni ko‘rsatdi va Simpson I darajasiga muvofiq o‘simtani yanada radikal olib tashlashga hissa qo‘shdi (45,2% ga nisbatan 29,4% nazorat guruhida).

Библиографические ссылки

Akimoto T, et al. "Preoperative tumor embolization prolongs time to recurrence of meningiomas: a retrospective propensity-matched analysis." *J Neurointerv Surg*. 2022. doi:10.1136/neurintsurg-2022-019080.

Al-Mufti F, et al. "Preoperative meningioma embolization reduces perioperative blood loss: a multi-center retrospective matched case-control study." *Br J Neurosurg*. 2021;27:1–4. doi:10.1080/02688697.2021.1979191.

Banks JL, Marotta CA. "Outcomes validity and reliability of the modified Rankin scale: implications for stroke clinical trials: a literature review and synthesis." *Stroke*. 2007;38(3):1091–6. doi:10.1161/01.STR.0000258355.23810.c6.

Dean BL, et al. "Efficacy of endovascular treatment of meningiomas: evaluation with matched samples." *AJNR Am J Neuroradiol*. 1994;15(9):1675–80.

Higgins JPT, Thomas J, Chandler J, et al.** "Cochrane Handbook for Systematic Reviews of Interventions." 2nd Edition. Chichester (UK): John Wiley & Sons; 2019.

Przybylowski CJ, et al. "Preoperative embolization versus no embolization for WHO grade I intracranial meningioma: a retrospective matched cohort study." *J Neurosurg*. 2020;134(3):693–700. doi:10.3171/2020.1.JNS19788.

Raper DM, et al. "Preoperative embolization of intracranial meningiomas: efficacy, technical considerations, and complications." *AJNR Am J Neuroradiol*. 2014;35(9):1798–804. doi:10.3174/ajnr.A3919.

Yi Yin, et al. "Clinical Outcomes and Complications of Preoperative Embolization for Intracranial Giant Meningioma Tumorectomy: A Retrospective, Observational, Matched Cohort Study." *Front Oncol*. 2022;12:852327. doi:10.3389/fonc.2022.852327.

Загрузки

##submissions.published##

2024-09-26