椎体肿瘤外科手术前经导管血管栓塞术的应用  

Application of preoperative transcatheter arterial embolization in treating vertebral tumors before surgical resection

作　　者：吕银章[1] 王南[1] 徐安辉[1] 黄艳荣[1] 彭羚[1] 漆剑频[1] 

机构地区：[1]武汉华中科技大学同济医学院附属同济医院放射科,430030

出　　处：《介入放射学杂志》2014年第12期1073-1076,共4页Journal of Interventional Radiology

摘　　要：目的探讨术前动脉栓塞对椎体肿瘤手术治疗的价值。方法 2011年1月—2013年12月对36例椎体肿瘤患者手术前行经导管血管栓塞术,观察手术中的相关指标,对手术操作难度进行评分,并与对照组(同期42例术前未行经导管血管栓塞术的椎体肿瘤患者)进行对比。结果栓塞组术中出血量平均1 428.9 ml、手术时间平均164.6 min、术后引流量190.7 ml,均明显低于对照组。对手术操作难度评分,栓塞组3个方面的得分为:1.42、1.78、1.97,低于对照组。结论在椎体肿瘤外科手术前,常规进行动脉栓塞,能显著减少肿瘤血供,降低术中出血量,有利于完整切除肿瘤,提高手术成功率。Objective To discuss the application of preoperative arterial embolization in treating vertebral tumor before surgical resection. Methods During the period from January 2011 to December 2013 at authors＇ hospital, preoperative transcatheter arterial embolization was carried out in a total of 36 patients （study group） with vertebral tumors which were planed to be treated with surgical resection. Other 42 patients with vertebral tumors, who received surgery only, were collected and used as control group. The clinical data were analyzed. The degree of surgical difficulty was evaluated by scoring. The results were compared between the two groups. Results In the study group the average volume of blood loss was 1 428.9 ml, the operation time was 164.6 min, and the postoperative drainage volume was 190.7 ml, all of which were significantly lower than those in the control group. The surgical difficulty scores concerning three respects （surgical field, bleeding and stripping difficulty） in the study group were 1.42, 1.78 and 1.97 respectively, which were also lower than those in the control group. Conclusion Transcatheter arterial embolization of vertebral tumors performed before surgical resection can significantly decrease the blood supply to the tumor, so that in- operation blood loss can be effectively reduced, which helps ensure a successful and complete resection of the tumor.（J Intervent Radiol, 2014, 23： 1073-1076）

关 键 词：经动脉血管栓塞术 椎体肿瘤 明胶海绵 

分 类 号：R738.1[医药卫生—肿瘤]