经数字减影血管造影术介入后骨盆肿瘤切除与重建  

Resection of pelvic tumor and reconstruction of pelvis after digital subtraction angiography

作　　者：纪方[1] 蔡郑东[1] 孙庆斌[1] 陈舰[1] 刘植珊[1] 顾雄华[1] 贾金鹏[1] 

机构地区：[1]第二军医大学长海医院骨科,上海200433

出　　处：《第二军医大学学报》2001年第10期967-978,共12页Academic Journal of Second Military Medical University

基　　金：上海市优秀学科带头人基金资助项目 ( 97XD14 0 15 )

摘　　要：目的 :探讨分析经数字减影血管造影术 (DSA)介入后骨盆肿瘤切除与功能重建的临床方法及疗效。 方法 :对 2 8例骨盆肿瘤患者进行术后临床回顾分析。其中骨巨细胞瘤 10例 ,软骨肉瘤 7例 ,骨转移性腺癌 4例 ,骨肉瘤 3例 ,骨恶性淋巴瘤1例 ,骨恶性纤维组织细胞瘤 1例 ,动脉瘤样骨囊肿 2例 ,均行肿瘤切除及骨盆环重建。结果 :本组 2 8例患者手术均顺利 ,肿瘤获彻底切除 ,平均随访时间 3年 (1～ 5年 ) ,无术中休克或死亡 ,无盆腔脏器损伤。伤口均一期愈合 ,无 1例感染。全部病例均可负重行走。 结论 :经 DSA介入后骨盆肿瘤切除与重建功能的保肢手术是可行的 。Objective:To study the resection of bone tumor and reconstruction of pelvis after digital subtraction angiography(DSA). Methods:A retrospective analysis of 28 consecutive cases of resection and reconstruction in bone tumor of pelvis was conducted. There were 3 osteosarcomas, 10 aggressive giant cell tumor of bone, 7 chondrosarcoma, 4 matestatic bone tumor and 4 other bone tumors. All of the cases underwent resection of bone tumor and reconstruction of pelvis. Results:Follow up period ranged from 1 year to 5 years (averagely 3 years) in 28 cases. No death, shock during operation or severe complications appeared. All of the cases walked without branch. Conclusion:Resection of bone tumor and reconstruction of pelvis after DSA are feasible, satisfactory results are obtained with controled indication.

关 键 词：骨肿瘤 骨盆 骨移植 骨重建 血管造影术 

分 类 号：R738.105[医药卫生—肿瘤] R730.56[医药卫生—临床医学]