经球囊导管置入暂时阻断腹主动脉血流在骶骨肿瘤术中的临床应用  

Clinical application of transcatheter placement in the temporary blocking of abdominal aorta flow during the resection of sacral tumor

作　　者：杨银山[1] 李林[1] 李玉雯[1] 谭骅[1] 黄明[1] 

机构地区：[1]云南省肿瘤医院微创介入医学科,云南昆明650108

出　　处：《云南医药》2016年第5期491-494,共4页Medicine and Pharmacy of Yunnan

摘　　要：目的探讨经球囊导管置入暂时阻断腹主动脉血流在骶骨肿瘤术中的临床应用。方法以2014年1月-2016年4月本院收治的60例骶骨肿瘤患者为研究对象。将60例患者按照随机数原则分为观察组和对照组各30例。对照组采用传统的术前血管栓塞技术,观察组在经导管置入暂时阻断腹主动脉血流条件下进行手术切除。对比两组的手术基本情况、术后并发症发生率及近2年内的复发率。结果观察组术中出血量明显少于对照组,手术时间及住院时间均较对照组显著缩短(P<0.05)。观察组发生骶神经损伤1例,穿刺部位血肿2例,并发症发生率为10.0%;对照组发生骶神经损伤4例,穿刺部位血肿4例,局部缺血性疼痛2例,性功能障碍1例,并发症发生率为36.7%,组间比较观察组低于对照组(P<0.05)。观察组半年、1年、2年内的复发率分别为3.3%、13.3%、20.0%,对照组同期复发率分别为20.0%、40.0%和46.7%,组间比较观察组复发率显著低于对照组(P<0.05)。结论在骶骨肿瘤术中应用经球囊导管置入球囊暂时阻断腹主动脉血流术,有利于减小手术创伤,提高手术安全性,同时可促进术后恢复,降低术后复发,可作为一项具有实用价值的临床技术于此类手术中推广应用。Objective To explore the clinical application of transcatheter placement in the temporary blocking of abdominal aorta flow during the resection of sacral tumor. Methods 60 patients with sacral tumor treated from January 2014 to April 2016 in our hospital were selected. The subjects were randomly divided into two groups,30 cases each group. The control group adopted the conventional embolism therapy; the transcatheter placement in the temporary blocking of abdominal aorta flow. The operati complications and recurrence rate in recent two years were observed. observation group adopted the on condition, incidence rate of for observation group was fewer than that of control group; the operation time and hospitalization time for observation group were shorter than that of control group（P 〈 0.05）;The observation group had 1 case of sacral nerve injury,2 cases of hematoma in the puncturing position;the incidence rate of complications was 10.0%.The control group had 4 cases of sacral nerve injury,4 cases of hematoma in the puncturing position,2 cases of local ischemic pain,and 1 case of sexual dysfunction;the incidence rate of complications was 36.7%（P 〈 0.05）;within 6 months,one year and 2 year after surgery,the recurrence rates for observation group were 3.3%,13.3% and 20.0%;the recurrence rate for control groupwere 20.0% ,40.0% and 46.7% （P 〈 0.05）.Conclusion placement in the temporary blocking of abdominal aorta promote the recovery and reduce the recurrence rate.It is During the resection of sacral tumor,the transcatheter flow can minimize the operation wound,improve the safety, of great importance in the clinical promotion and application.

关 键 词：骶骨肿瘤 阻断腹主动脉血流 球囊导管 

分 类 号：R739.93[医药卫生—肿瘤]