两种阻断方式在骨盆及骶尾部肿瘤切除术中的安全性及有效性分析  

Analysis of Safety and Efficacy of Two Blocking Methods in Pelvic and Sacrococcygeal Tumor Resection

作　　者：职欢欢 刘娟芳[1] 王贾楠 韩新巍[1] ZHI Huanhuan;LIU Juanfang;WANG Jianan;HAN Xinwei(Department of Interventional Radiology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院放射介入科,河南郑州450052

出　　处：《河南医学研究》2022年第24期4441-4444,共4页Henan Medical Research

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20210284)。

摘　　要：目的探讨腹主动脉腔内球囊阻断技术(EBO)及动脉栓塞在骨盆及骶尾部肿瘤切除术中的安全性及有效性。方法回顾性分析2018年1月至2021年8月郑州大学第一附属医院选取的44名骨盆及骶尾部肿瘤患者。其中32例患者在低位腹主动脉EBO下接受后入路骶骨肿瘤切除术(EBO组),12例患者在髂内动脉栓塞下接受后入路骶骨肿瘤切除(对照组)。观察术中出血量、输血量、手术时间、住院时间及并发症发生情况。结果所有患者均手术成功。EBO组术中出血量为(1652.38±991.27)mL,动脉栓塞组术中出血量为(2787.54±558.83)mL,两组患者术中出血量比较差异有统计学意义(P<0.05)。两组平均住院时间、输血量和术中输液量、并发症情况比较差异无统计学意义(P>0.05)。结论腹主动脉EBO较靶动脉栓塞组能减少骨盆及骶尾部肿瘤切除术中的出血量。Objective To explore the safety and efficacy of abdominal aorta endovascular balloon occlusion(EBO)and arterial embolization in pelvic and sacrococcygeal tumor resection.Methods From January 2018 to June 2021,a total of 44 patients with pelvic and sacrococcygeal tumors enrolled in the First Affiliated Hospital of Zhengzhou University were retrospectively analyzed.Among them,32 patients underwent posterior sacral tumor resection under low abdominal aorta EBO(EBO group),and 12 patients underwent posterior sacral tumor resection under internal iliac artery embolization(artery embolization group).The intraoperative blood loss,blood transfusion,operation time,hospital stay and complications were observed.Results All patients underwent successful surgery.In EBO group,the average blood loss was(1652.38±991.27)mL,in artery embolization group,the average blood loss was(2787.54±558.83)mL,and the intraoperative blood loss was statistical different between the two groups(P<0.05).There were no statistical differences in the average length of hospital stay,blood transfusion volume,intraoperative fluid transfusion volume and complications between the two groups(P>0.05).Conclusion Abdominal aorta EBO can significantly reduce blood loss during pelvic and sacrococcygeal tumor resection compared with target artery embolization group.

关 键 词：骶尾部肿瘤 骨盆肿瘤 腹主动脉内阻断 球囊导管 失血 

分 类 号：R735.5[医药卫生—肿瘤]