骨肿瘤的术前动脉栓塞治疗  

Preoperative Treatment of Bone Tumors by Intra arterial Embolization

作　　者：倪才方[1] 刘一之[1] 邵国良[1] 朱晓黎[1] 丁乙[1] 杨惠林[1] 唐天驷[1] 

机构地区：[1]苏州医学院附属第一医院放射科

出　　处：《临床放射学杂志》1998年第5期299-301,共3页Journal of Clinical Radiology

摘　　要：目的：研究和评估骨肿瘤手术前选择性动脉栓塞治疗的价值、作用，探讨影响骨肿瘤术前动脉栓塞疗效的因素。材料与方法：对２４例骨肿瘤（恶性肿瘤２１例，巨大良性肿瘤３例）进行选择性动脉栓塞，先用明胶海绵颗粒栓塞肿瘤区小血管，再以明胶海绵细条栓塞供血动脉主干，于栓塞后１～５天进行手术。结果：共栓塞肿瘤供血动脉４７支，２３例手术成功，手术过程顺利，其中２０例肿瘤被完全切除，３例被大部切除，术中平均失血为９６０ｍｌ（２５０～２５００ｍｌ），无１例发生术中死亡或术后严重并发症；１例在术中难以止血致手术失败。结论：选择性动脉栓塞是某些部位骨肿瘤（如骨盆、脊柱、肩胛骨等部位）手术前十分重要而有效的治疗方法。Objective: To study and to evaluate the efficiency of the intra arterial embolization in the preoperative treatment of bone neoplasms.Materials and Methods:Twenty four cases with bone tumors were treated by intra arterial embolization with gelfoam particles and pieces before the operation in 1～5 days.Results:Forty seven feeding arteries in 24 cases were embolized. 23 cases facilitated their tumors resectable with the reduction of blood loss (avergage 960ml). 20 cases with tumor were resected completely, 3 cases were partly resected. One case failured due to hazardous intraoperative bleeding. There were no serious complications in all cases.Conclusion: Intra arterial embolization would be an effective method for the preoperative treatment of some selected bone neoplasma. The key to the occlusion of bone tumors is to embolize the all feeding arteries of the neoplasms.

关 键 词：骨肿瘤 动脉栓塞 栓塞疗法 手术前 

分 类 号：R738.105[医药卫生—肿瘤]