富血运颅内肿瘤术前介入栓塞探讨  

Exploration on preoperative embolization of rich blood supply intracranial tumor

作　　者：吴刚[1] 李连[1] 韦红恩[1] 刘寿堂[1] 

机构地区：[1]广西柳州市人民医院神经外科,柳州545006

出　　处：《中国实用神经疾病杂志》2013年第10期4-6,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨介入栓塞对富血运颅内肿瘤术前栓塞的临床效果。方法通过深入分析近5a我院术前未做栓塞的10例(肿瘤直径>4cm)富血运颅内肿瘤与近期我院做的1例巨大跨小脑幕上下复发脑膜瘤(肿瘤直径>6cm)病例的治疗过程,查阅大量文献深度讨论治疗常见的各种问题,结合各种国内外专家经验作出相应的推断和探讨。结果未栓塞富血运颅内肿瘤术中出血量800～3 000mL,栓塞肿瘤出血量150mL;未栓塞肿瘤术后并发症多,住院时间长,栓塞肿瘤无明显并发症,住院时间短;未栓塞肿瘤切除率为辛普森分级(Simpson)Ⅱ级、Ⅲ级,栓塞后肿瘤切除率为辛普森分级(Simpson)Ⅰ级。结论巨大富血运颅内肿瘤供血丰富,手术切除前应尽可能进行介入栓塞治疗。术前介入栓塞治疗可明显减少该类肿瘤术中出血,缩短手术时间,明显减少并发症发生。术前介入栓塞治疗使得肿瘤切除率更高,减少术后肿瘤术后复发可能。Objective To explore the clinical outcomes of pre-operative interventional embolization for rich blood supply intracranial tumor. Methods Inference and exploration were made through analyzing and comparing 10 preoperative non-embo- lization cases （tumor diameter^4 cm） recent five years and the recent treatment course of one case of great span tentorium cer ebelli and recurrent meningioma （tumor diameter^6 cm） through consulting a large number of literature, and domestic and o verseas experts＇ experience. Results The amount of bleeding for non-embolization rich blood supply intracranial tumor opera- tion was 800~3000 mL, which was 150 mL for embolization tumor; there were more complications and longer hospitalization for non-embolization tumor, whereas there was no obvious complication and shorter hospitalization for embolization tumor. The resection rate of non-embolization tumor in Simpson＇s classification was Grand I] and Grand Ill , whereas which was Grand I for embolization tumor. Conclusion Preoperative intervention embolization should be carried out as much as possible for rich blood supply intracranial tumor. It can evidently decrease bleeding during tumor operation, shorten operation time and reduce complications. Moreover, it can increase the tumor resection rate while decrease the possibility of post-operative recurrence of tumor.

关 键 词：颅内肿瘤 术前栓塞 

分 类 号：R739.41[医药卫生—肿瘤]