骨盆肿瘤的术前栓塞  

PreoperativeEmbolizationofPelvicTumors

作　　者：崔志鹏[1] 杨铁[1] 邢冲冲[1] 张金山[1] 

机构地区：[1]解放军总医院放射科

出　　处：《中华骨科杂志》1996年第11期668-671,共4页Chinese Journal of Orthopaedics

摘　　要：在于通过对骨盆肿瘤的术前栓塞为外科手术提供一种减少术中失血的有效新方法．本组２１例接受术前栓塞治疗２２次．疾病包括：软骨肉瘤１０例，骨肉瘤５例，转移瘤３例，脊索瘤２例，动脉瘤样骨囊肿１例．栓塞物质为明胶海绵、钢丝圈和Ｉｖａｌｏｎ．本组２１例栓塞后造影显示肿瘤染色均较栓塞前减少７５％或以上，术中失血在８００～２８００ｍｌ之间，平均１４９０ｍｌ．本研究表明骨盆肿瘤术前栓塞能够有效地减少术中失血，提高手术治疗成功率，是一种有价值的术前辅助性治疗方法．Preoperativearterialembolizationofthevasculartumorsofthepelvisisanusefuladju-vanttechniquethatcansingnificantlydecreaseintraoperativebloodloos.Theprocedurewasperformed22timesin21casesusinggelfoam,Ivalonorstainlesssteelcoils.Thelesionsincluded10casesofchon-drosarcomas,5casesofosteosarcomas,3casesofmetastatictumor,2casesofchordomaand1caseofaneurysmalbonecyst.Thetherapeuticresultshowedthattheproportionofthetumorstainwasmarkedlyreducedafterembolization,being75%ormoreinsize.Inthepatientsofthisseriesunder-wentembolizatoin,theestimatedbloodlossduringsurgerywasinanaverageof1490ml(800～2800ml).Theauthorsconcludedthat,preoperativeembolizationisefectiveindecreasingintraoperativebloodlossgivingexcelentoperativeresults.

关 键 词：栓塞术 骨肿瘤 骨盆肿瘤 

分 类 号：R738.105[医药卫生—肿瘤]