原发性骶骨肿瘤的外科治疗进展  

ADVANCE IN SURGICAL TREATMENT OF PRIMARY SACRUM TUMOR

作　　者：臧乐源[1] 初同伟[1] 

机构地区：[1]第三军医大学新桥医院骨科,重庆400037

出　　处：《中国修复重建外科杂志》2016年第4期518-522,共5页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的对原发性骶骨肿瘤的外科治疗研究进展进行综述。方法查阅国内外原发性骶骨肿瘤外科治疗的相关文献,并对其手术方式、术中止血、骨盆重建、骶神经根的保护、手术并发症及预后等多个方面进行总结、分析。结果手术治疗是原发性骶骨肿瘤的主要治疗方式,但在手术方式选择、骶神经根的保护及术中止血处理方式的选择上仍存在争议;同时,骨盆稳定性重建的复杂性、并发症的多样性及与多因素相关的预后,也给骶骨肿瘤的外科治疗带来困难和挑战。结论迫切需要形成一个行之有效的统一标准,来对原发性骶骨肿瘤进行综合性诊断和治疗。Objective To summarize the research progress of surgical treatment for primary sacrum tumor. Methods The domestic and foreign related literature about surgical treatment of primary sacrum tumor, and many aspects of its surgical procedures, intraoperative hemostasis, pelvic reconstruction, protection of sacral nerve, complications, and prognosis was summarized and analyzed. Results The operation is the major therapy for primary sacrum tumor. However, surgical procedures, protection of sacral nerve, and the way of intraoperative hemostasis remain controversial. Meanwhile, the complexity of pelvic reconstruction, the diversity of complications, and prognosis related with many factors bring difficulties and challenges to the surgical treatment. Conclusion It is urgent need to develop an effective unified standard to conduct diagnosis and treatment of primary sacrum tumor.

关 键 词：原发性骶骨肿瘤 外科治疗 骶骨肿瘤切除术 骨盆重建 

分 类 号：R738[医药卫生—肿瘤]