骶骨肿瘤术后引流量及并发症的影响因素分析  

Analysing the factors that affect postoperative drainage volume and complications of sacral tumors

作　　者：李世德[1] 杨成志[1] 

机构地区：[1]广西医科大学第一附属医院脊柱骨病外科,南宁530022

出　　处：《中国癌症防治杂志》2010年第4期283-285,共3页CHINESE JOURNAL OF ONCOLOGY PREVENTION AND TREATMENT

基　　金：广西医疗卫生重点课题(重200839);广西科技厅科研基金资助项目(桂科自0991113)

摘　　要：目的探讨骶骨肿瘤手术方式、肿瘤性质及肿瘤分区对术后引流量的影响。方法①回顾性分析我科自1990年3月至2009年9月行手术治疗的86例骶骨肿瘤患者临床资料,根据术中控制出血方法的不同分为4组:未行控制出血对照(A组)31例;术前介入靶血管栓塞(B组)11例;髂内动脉结扎(C组)21例;低位腹主动脉临时阻断(D组)23例。②比较拔管时各组累计引流量。③比较不同性质肿瘤引流量及不同分区肿瘤引流量。结果①A组引流量最小,B组引流量最大。②骨巨细胞瘤引流量大于脊索瘤。③肿瘤位于(Ⅰ+Ⅱ区)者引流量最大。结论术式、肿瘤性质及肿瘤分区均为影响引流量大小的因素。术前介入靶血管栓塞病例引流量最大;骨巨细胞瘤引流量大于脊索瘤;高位骶椎肿瘤引流量大于低位骶椎。Objective To explore the impacts of surgical method,type and partition of sacral tumors on postoperative drainage volume.Methods 86 cases of sacral tumor that receive surgical treatment from March 1990 to September 2009 were retrospectively analyzed.According to the Methods of controlling intraoperative bleeding,the cases were divided into 4 groups.Group A,no-vessel bleeding control,had 31 cases;Group B,preoperative embolization of target vessel intervention,had 11 cases;Group C,internal iliac artery ligation,had 21 cases;Group D,intermittent block of lower abdominal aorta,had 23 cases.The cumulative drainage volume up to extubation,the drainage volume of different types and partitions of tumor were compared with each other among the groups.Results Group A had the least total drainage volume and Group B had the most.The drainage volume of Giant cell tumor was more than that of Chordoma,and the high located sacral tumor had more drainage volume than the low located ones.TumorⅠ＋Ⅱdivision had the most total drainage volume.Conclusions Operation Methods,tumor types and tumor divisions have impact on postoperative drainage volume.

关 键 词：骶骨肿瘤 术式 肿瘤性质 肿瘤分区 引流 并发症 

分 类 号：R738.1[医药卫生—肿瘤]