脊柱肿瘤血供状态评估及减少手术出血量方法的研究进展  

Research Progress on Assessment of Blood Supply of Spinal Tumors and Methods of Reducing Intraoperative Blood Loss

作　　者：焦勇强 马树伟 刘艳成[3] 胡永成[3] 马英杰 杨智慧 JIAO Yongqiang;MA Shuwei;LIU Yancheng;HU Yongcheng;MA Yingjie;YANG Zhihui(Department of Orthopedics,Affiliated Hospital of Hebei University of Engineering,Handan 056000,China;Graduate School of Tianjin Medical University,Tianjin 300070,China;Department of Orthopaedic Oncology,Tianjin Hospital,Tianjin 300211,China;Department of Radiology,General Hospital of Handan Mining Group,Handan 056000,China)

机构地区：[1]河北工程大学附属医院骨科,邯郸056000 [2]天津医科大学研究生院,天津300070 [3]天津医院骨与软组织肿瘤科,天津300211 [4]邯郸矿业集团总医院放射科,邯郸056000

出　　处：《肿瘤防治研究》2021年第5期547-552,共6页Cancer Research on Prevention and Treatment

摘　　要：为减少术中失血带来的风险,临床上有多种术前评估肿瘤血供及肿瘤周围血管分布的方法,如动态增强CT、动态增强磁共振成像(DCE-MRI)和数字减影血管造影等,并且有多种术前及术中减少肿瘤出血的治疗手段,如经动脉椎体肿瘤血管栓塞、经皮或者经椎弓根注射Onyx/NBCA、抗纤溶药物和控制性蓄意低血压等。本文对脊柱肿瘤血供状态评估以及减少手术出血量的方法作一综述。In order to avoid the intra-and post-operative risks caused by massive blood loss,there are various clinical methods for evaluating the blood supply of the tumor and the distribution of blood vessels around the tumor before surgery,such as dynamic enhanced CT,dynamic enhanced magnetic resonance imaging,digital subtraction angiography,etc.And there are a variety of pre-and intra-operative methods to reduce tumor bleeding,such as transarterial vertebral tumor embolization,percutaneous or transpedicular injection of Onyx/NBCA,antifibrinolytic drugs,controlled deliberate hypotension,etc.This article reviews on spinal tumor blood supply assessment and the methods to reduce the amount of surgical bleeding.

关 键 词：脊柱肿瘤 术中出血 血供评估 脊柱血供 

分 类 号：R738.1[医药卫生—肿瘤]