靶血管栓塞后手术治疗骶骨肿瘤  

Surgical Treatment of Sacral Tumors After Transcatheter Arterial Embolization

作　　者：杨惠林[1] 倪才方[1] 唐天驷[1] 洪天禄[1] 许立[1] 杨同其[1] 徐耀增[1] 包肇华[1] 刘一之[1] 

机构地区：[1]苏州医学院附属第一医院骨科

出　　处：《中华骨科杂志》1998年第11期646-648,共3页Chinese Journal of Orthopaedics

摘　　要：目的：研究和评估经导管动脉栓塞后手术治疗骶骨肿瘤的价值和作用。方法：对２１例骶骨肿瘤用明胶海绵进行选择性动脉栓塞，栓塞后平均１．８天手术。结果：肿瘤均被顺利切除；术中出血大大减少，平均出血量为８９０ｍｌ。１６例获平均１８个月随访，未见局部复发。结论：靶血管栓塞后手术治疗骶骨肿瘤，可有效地减少术中出血，降低手术的危险性，增加肿瘤切除率和彻底切除的可能性，是十分有效的方法。Objective: To study and evaluate the efficacy of transcatheter arterial embolization in the treatment of sacral tumor. Methods: Twenty one cases of the benign or malignant sacral tumor were embolized with gelfoam 1 to 4 days before the operation. Results:Tremendous reduction of blood loss during surgery was found in all cases, the blood loss was 890 ml. Sixteen cases were followed up for a period of average of 18 months. No recurrence of the sacral tumors was seen. Conclusion: Preoperative arterial embolization is effective in decreasing intraoperative blood loss and can lead to excellent results.

关 键 词：骶骨肿瘤 栓塞疗法 外科手术 

分 类 号：R738.105[医药卫生—肿瘤]