[1]李 娜,刘苗苗,刘林嶓,等. 1型神经纤维瘤病切除术中出血量相关因素分析[J].中国美容医学,2020,(4):87-90.
　LI Na,LIU Miao-miao,LIU Lin-bo,et al. Analysis of Related Factors of Intraoperative Blood Loss in Neurofi bromatosis Type 1[J].Medical Aesthetics and Beauty,2020,(4):87-90.
点击复制

 1型神经纤维瘤病切除术中出血量相关因素分析
()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年4期
页码:
87-90
栏目:
出版日期:
2020-04-28

文章信息/Info

Title:
 Analysis of Related Factors of Intraoperative Blood Loss in Neurofi bromatosis Type 1
文章编号:
1008-6455（2020）04-0087-03
作者:
 李 娜; 刘苗苗; 刘林嶓; 翟晓梅
Author(s):
 LI Na; LIU Miao-miao; LIU Lin-bo; ZHAI Xiao-mei
关键词:
 ; [关键词]1型神经纤维瘤病; 术中出血量; 瘤体截面积; 瘤体侵及层次; 手术切除
Keywords:
 ; Key words: neurofibromatosis type 1;  intraoperative blood loss;  tumor cross-sectional area;  tumor invasion level;  surgicalresection
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨各相关因素对1型神经纤维瘤病切除术中出血量的影响。方法：回顾性分析2011年1月-2018年12月笔者医
院整形外科收治的60例1型神经纤维瘤病切除术中出血量与各因素的相关性。结果：单因素分析中，性别、年龄、是否多
发、是否有家族史、是否物理止血、切除方式这些因素差异无统计学意义（P ＞0.05）。而瘤体的主要位置、瘤体截面积、
手术时间、是否侵及肌层、术中输液量等因素差异有统计学意义（P ＜0.05）。对术中出血量、住院时间及住院花费行相关
性分析，可对住院时间及住院花费行预估计。对单因素分析中有意义的指标进行Logistic回归分析，可得瘤体截面积和是否
侵及肌层是影响术中出血量的独立危险因素。结论：瘤体截面积和瘤体侵及层次是影响术中出血量的重要因素。术前可通过
用影像学检查明确侵及层次，计算瘤体截面积预估出血量，必要时备血，提高手术安全性。

Abstract:

Abstract: Objective To investigate the influence of various related factors on the amount of bleeding in the treatment of
neurofi bromatosis type 1 (NF1). Methods Retrospectively analyzed the correlation between the amount of bleeding and factors
in 60 cases of NF1 resection in our hospital from January 2011 to December 2018. Results In the univariate analysis, gender, age,
multiple occurrence, family history, physical hemostasis, and resection methods were not statistically signifi cant(P＞0.05). While
the main location of the tumor, the cross-sectional area of the tumor, the operation time, whether it invaded the muscle layer, and the
amount of intraoperative fl uid infusion were statistically signifi cant(P ＜0.05). The correlation analysis of intraoperative blood
loss, length of stay and cost of hospitalization can be used to estimate the length of stay and cost of hospitalization. Logistic
regression analysis of meaningful indicators in univariate analysis shows that the tumor cross-sectional area and whether it
invades the muscle layer are independent risk factors that affect the intraoperative blood loss. Conclusion The cross-sectional
area of the tumor and the invasion level of the tumor are important factors infl uencing the amount of intraoperative blood loss.
Preoperative imaging examination can be used to determine invasion level, calculate tumor cross-sectional area to estimate
blood loss, and prepare blood when necessary to improve surgical safety.

相似文献/References:

[1]. 埋线美容专栏[J].中国美容医学,2018,(01):0.
　[J].Medical Aesthetics and Beauty,2018,(4):0.
[2]杨 震. 应用透明质酸颏部填充联合A型肉毒毒素咬肌注射重塑面部下1/3轮廓的效果观察[J].中国美容医学,2018,(03):1.
　YANG Zhen. Effect of Hyaluronic Acid Chin Filling Combined with Botulinum Toxin Type A Masseter Muscle Injection to Reconstruct the Facial Contour of the Lower 1/3[J].Medical Aesthetics and Beauty,2018,(4):1.
[3]祝闽辉,张栋梁,叶祥柏,等. 皮肤软组织扩张术埋置注液期并发症危险因素研究[J].中国美容医学,2018,(03):4.
　ZHU Min-hui,ZHANG Dong-liang,YE Xiang-bo,et al. Risk Factors of Complications after Tissue Expasion[J].Medical Aesthetics and Beauty,2018,(4):4.
[4]刘申松,杨永成. 自体脂肪颗粒移植联合假体隆乳术在哺乳后乳腺萎缩整形术中的应用[J].中国美容医学,2018,(03):9.
　LIU Shen-song,YANG Yong-cheng. Application of Autologous Fat Granule Graft Combined with Prosthesis Combined Augmentation Mammoplasty in Breast Reconstruction of Breast Atrophy Patients after Breast-feeding[J].Medical Aesthetics and Beauty,2018,(4):9.
[5]韩 星,胡守舵,陈晓芳,等.自体脂肪颗粒移植促进手部年轻化的临床观察[J].中国美容医学,2018,(03):12.
　HAN Xing,HU Shou-duo,CHEN Xiao-fang,et al. The Effect of Autologous Fat Grafting in Hand Rejuvenation[J].Medical Aesthetics and Beauty,2018,(4):12.
[6]李胜旭,苏映军,杨 宽,等. 封闭负压引流技术在先天性并指分指植皮术中的应用[J].中国美容医学,2018,(03):15.
　LI Sheng-xu,SU Ying-jun,YANG Kuan,et al. Application of Vacuum Sealing Drainage for Skin Graft in Patients with Congenital Syndactyly of the Hand[J].Medical Aesthetics and Beauty,2018,(4):15.
[7]陈 波,路 会,马 力,等. 钝针皮下层扇形注射透明质酸矫正面颊部凹陷[J].中国美容医学,2018,(03):18.
　CHEN Bo,LU Hui,MA Li,et al. Correction of Cheek Depression by Fanshaped Hyaluronic Acid Injection in Subcutaneous Layers with Blunt Needle[J].Medical Aesthetics and Beauty,2018,(4):18.
[8]曾德斌,栗鹏程,邱勋永,等. 不同超薄游离穿支皮瓣修复手部软组织缺损效果比较[J].中国美容医学,2018,(03):21.
　ZENG De-bin,LI Peng-cheng,QIU Xun-yong,et al. Comparison on the Repair Effect of Different Ultrathin Free Perforator Flaps in the Treatment of Patients with Soft Tissue Defect of Hand[J].Medical Aesthetics and Beauty,2018,(4):21.
[9]程 定,崔树英,郑 乐,等. 改道引流联合VSD技术修复会阴部撕裂伤的临床研究[J].中国美容医学,2018,(03):24.
　CHENG Ding,CUI Shu-ying,ZHENG Le,et al. Clinical Study on Diverted Drainage Combined with Vacuum Sealing Drainage Technique to Repair the Laceration of the Perineum[J].Medical Aesthetics and Beauty,2018,(4):24.
[10]李云峰,吴泽勇,黄海华,等. 全厚皮片游离移植矫治儿童足背瘢痕挛缩畸形[J].中国美容医学,2018,(03):27.
　LI Yun-feng,WU Ze-yong,HUANG Hai-hua,et al. Full-thickness Skin Graft for the Treatment of Cicatricial Contracture of the Dorsum of Foot in Children[J].Medical Aesthetics and Beauty,2018,(4):27.

更新日期/Last Update: 2020-04-28