球囊阻断腹主动脉在骶骨肿瘤术中的初步应用  

Temporary balloon occlusion of the abdominal aorta: an initial experience during the removal of sacral tumors

作　　者：邹强[1] 佟小强[1] 吕永兴[1] 王健[1] 杨敏[1] 王超[1] 邹英华[1] 

机构地区：[1]北京大学第一医院介入血管外科,北京100034

出　　处：《中国介入影像与治疗学》2005年第5期342-344,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨经皮球囊导管置入暂时阻断腹主动脉血流在骶骨肿瘤术中的临床应用价值.方法 6例骶骨肿瘤患者,脊索瘤4例,骨巨细胞瘤2例,术前经股动脉置入球囊导管,使球囊位于腹主动脉远段,术中间断性充盈球囊阻断腹主动脉血流.结果手术过程顺利;术中失血500～4000 ml,平均1683 ml,术后引流100～1200 ml,平均600 ml;患者术后无栓塞、缺血等并发症发生.结论经皮球囊导管置入暂时阻断腹主动脉血流是一种有价值的可以帮助减少骶骨肿瘤术中失血的辅助方法.Objective To investigate the effectiveness of temporary balloon occlusion of the abdominal aorta during removal of sacral tumors. Methods Four cases with chordomas and 2 cases with giant cell tumors were included. A plastic balloon was placed at the distal abdominal aorta just before operation. During operation, the balloon was inflated to block the blood flow in the aorta at intervals. Results The operations were all successfully accomplished. The loss of blood ranged from 500 ml to 4000 ml, with an average of 1683 ml during the operations. The drainage of the wounds ranged from 100 ml to 1200 ml, with an average of 600ml after the operations. No postoperative complication of embolism or ischemic necrosis was found. Conclusion Temporary balloon occlusion of the abdominal aorta is a valuable method that may help to reduce the loss of blood during removal of sacral tumors.

关 键 词：肿瘤 骨组织 失血 手术 球囊导管 放射摄影术 介入性 

分 类 号：R738.1[医药卫生—肿瘤] R815[医药卫生—临床医学]