ПРОГНОЗ ИНТРАОПЕРАЦИОННОЙ КРОВОПОТЕРИ ПРИ УДАЛЕНИИ ГИПЕРВАСКУЛЯРНЫХ МЕНИНГИОМ ГОЛОВНОГО МОЗГА: РАДИОЛОГИЧЕСКАЯ ШКАЛА ОЦЕНКИ РИСКА
Ключевые слова:
менингиома, гиперваскулярность, кровопотеря, эмболизация, оценка риска, опухоль головного мозгаАннотация
В настоящем исследовании разработана клинико-радиологическая шкала оценки риска массивной интраоперационной кровопотери при удалении гиперваскулярных менингиом головного мозга. Выделены основные (инвазивный рост и поражение кости) и второстепенные (объём опухоли, дуральный хвост, перифокальный отёк) факторы риска, на основании которых построена математическая модель. Предложенная шкала позволяет разделить пациентов на группы с низким, средним и высоким риском кровопотери. Полученные результаты свидетельствуют о целесообразности предоперационной эмболизации у пациентов со средним и высоким риском кровопотери.
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