摘要
目的 :通过对骨盆肿瘤术前栓塞的分析 ,探讨其在外科手术中减少出血的意义及如何避免并发症。材料和方法 :本组16例进行了18次术前栓塞。病种包括 :转移瘤2例 ,脊索瘤4例 ,软骨肉瘤4例 ,骨肉瘤2例 ,尤文氏肉瘤1例 ,非何杰金氏淋巴瘤1例 ,滑膜肉瘤1例 ,平滑肌肉瘤1例。其中2例为术后复发 ,1例曾用原手术方法结扎左侧髂内动脉。栓塞物质全部使用钢丝圈及明胶海绵。结果 :本组18例次栓塞后造影均显示肿瘤血管、肿瘤染色明显减少 ,较栓塞前减少80%以上 ,全部病例均在栓塞后24小时内手术。术中出血量约在400～1200ml,平均720ml,较一般文献报道为低。原结扎髂内动脉可再通。术后复发与初次受栓塞者减少出血效果相近。所有病例无一例出现并发症。结论 :骨盆肿瘤术前栓塞是减少术中出血 ,提高手术成功率的有效且安全的方法。
Objective:To evaluate the efficacy of preoperative arterial embolization in the pelvis tumors as a useful adjuvant technique of reducing blood loss during operation and how to avoid compliocation.Materials and methods:This procedure was performed 10 times in 9 cases using stainless coils and Gelfoam.The tumors included metastatic tumor(2 cases),chordoma(4 cases),chondrosarcoma(4 cases),osteosarcoma(2 cases),Ewings sarcoma(1 case),non-Hodgkin's lymphoma(1 case),synovial sarcoma(1 case),leiomyosarcoma(1 case),in which two cases tumor were recurrent and one case,left introiloac arteries had ligated using traditional surgical method.Results:The therapeutic result showed that the tumor arteries and the proportion of tumor stain were markedly reduced 80% than before embolization.All cases were operated in 24 hours after embolization.In this series,the average blood loss during operation was 720ml,with a range from 400～1200ml.Complication in all cases was absence.Operative time selection and complication after embolization was discussed.Conclusion:This technique is effective in reducing blood loss during operation and has a good impacts to surgical therapeutic result.
出处
《中国临床医学影像杂志》
CAS
2000年第6期430-432,共3页
Journal of China Clinic Medical Imaging
关键词
治疗性栓塞
骨组织
骨盆肿瘤
embolization,therapeutic
neoplasms,bone tissue
