摘要
目的探讨和评估选择性靶动脉栓塞骶骨肿瘤后对外科切除肿瘤的价值和方法。方法运用Seldinger技术,对9例骶骨肿瘤患者进行肿瘤供血动脉及肿瘤内血管全部彻底栓塞,栓塞材料应用明胶海绵,栓塞后1周内行手术切除术。结果彻底的术前栓塞手术中失血量明显减少,9例骶骨肿瘤均得到彻底切除,平均失血量为1090ml。术后平均随访15个月,未见肿瘤局部复发。结论骶骨肿瘤切除术前选择性靶动脉栓塞可有效减少术中出血,有利于肿瘤的彻底切除,为顺利切除骶骨肿瘤提供了有价值的方法。
Objective To investigate the means of selective target artery embolization and to assess its usefulness in the resection of sacrum tumors. Methods Nine patients with sacrum tumor underwent the complete embolization of tumor's blood-supply arteries and intratumoral blood vesels before the resection.All procedures were performed by using Seldinger's technique and the gelfoam taken as an embolized material.The surgical resection of the tumors in all patients was performed within one week after the embolization.Results Due to successful embolization before the operation,intraoperative blood volume loss was obviously reduced while mean blood volume loss decreased to 1 090 ml from 3 500 ml when non-embolization.The sacrum tumors in all patients were comptely resected and no local recurrence was found during followed-up for 15 months after the operation.Conclusion Before the resection of sacrum tumor,the selective target artery embolization can not only effectively reduce the intraoperative blood volume loss but can provide the beneficial conditions for complete resection of the tumors.
出处
《实用医学影像杂志》
2004年第5期292-293,共2页
Journal of Practical Medical Imaging
关键词
骶骨肿瘤
靶动脉
栓塞术
手术切除
失血
Sacrum tumor
Target artery
Embolization
Resection
Blood loss
