脊柱肿瘤全椎体整块切除术前动脉介入栓塞的临床应用价值  

Clinical application value of preoperative interventional embolization in total en⁃bloc spondylectomy for spinal tumors

作　　者：谭小宁 张天文 刘斌[2] 赵昌[1] TAN Xiaoning;ZHANG Tianwen;LIU Bin;ZHAO Chang(Department of Interventional Therapy,Guangxi Medical University Cancer Hospital,Nanning 530021,China;Department of Orthopaedic Soft Tissue Surgery,Guangxi Medical University Cancer Hospital,Nanning 530021,China)

机构地区：[1]广西医科大学附属肿瘤医院介入治疗科,南宁530021 [2]广西医科大学附属肿瘤医院骨软组织外科,南宁530021

出　　处：《中国癌症防治杂志》2025年第1期88-94,共7页CHINESE JOURNAL OF ONCOLOGY PREVENTION AND TREATMENT

摘　　要：目的探讨脊柱肿瘤全椎体整块切除术(total en-bloc spondylectomy,TES)前行动脉介入栓塞的临床应用价值。方法回顾性分析2023年1月至2024年6月在广西医科大学附属肿瘤医院骨软组织外科接受脊柱肿瘤TES的34例患者的临床资料。根据术前是否接受动脉介入栓塞治疗,将患者分为栓塞组(n=11例)和未栓塞组(n=23例)。对比两组术中失血量、红细胞输入量、校准失血量、手术时间和住院时间的差异。结果栓塞组的11例患者均成功进行了动脉介入栓塞,无严重并发症发生。栓塞组的术中中位失血量为900.00 mL,中位红细胞输入量为4.00 U,中位校准失血量为55.00 g/L,手术时间为(340.91±100.84)min,住院时间为(14.18±3.76)d;未栓塞组的相应指标依次为1200.00 mL、3.50 U、63.00 g/L、(313.48±72.21)min和(16.26±5.11)d,两组间各项指标的比较差异均无统计学意义(均P>0.05)。结论脊柱肿瘤TES前行动脉介入栓塞相对安全,且可能在减少术中出血量和降低大出血风险方面具有潜在优势。Objective To investigate the clinical application value of preoperative interventional arterial embolization in total en⁃bloc spondylectomy(TES)for spinal tumors.Methods The clinical data of 34 patients who underwent TES for spinal tumors in the department of Orthopaedic Soft Tissue Surgery of the Guangxi Medical University Cancer Hospital from January 2023 to June 2024 were retrospec⁃tively analyzed.The patients were divided into the embolized group(n=11)and the non⁃embolized group(n=23)based on whether under⁃went preoperative interventional arterial embolization.The differences between the two groups were compared in terms of intraoperative blood loss,red blood cell transfusion volume,calculated blood loss,operative time and length of hospital stay.Results Interventional arterial embolization was successfully performed in all 11 patients in the embolization group,with no serious complications reported.The intraoperative blood loss in the embolized group was 900.00 mL,the red blood cell transfusion volume was 4.00 U,the calculated blood loss was 55.00 g/L,the operative time was(340.91±100.84)min,and the length of hospital stay was(14.18±3.76)days.In the non⁃embolized group,the corresponding values were 1,200.00 mL、3.50 U、63.00g/L、(313.48±72.21)min and(16.26±5.11)d,respectively.There were no statistically significant differences in above indexes between the two groups(all P>0.05).Conclusions Preoperative interventional arterial embolization in TES for spinal tumors are relatively safe.It may still offer potential advantages in reducing intra⁃operative blood and the risk of major bleeding.

关 键 词：脊柱肿瘤 全椎体整块切除术 介入栓塞 

分 类 号：R738[医药卫生—肿瘤]