期刊文献+

术前肿瘤动脉栓塞联合术中腹主动脉球囊阻断在骶骨肿瘤切除术中的应用 被引量:22

Clinical application of preoperative embolization of tumor feeding artery combined with intraoperative balloon occlusion of the abdominal aorta in the resection of sacral tumors
下载PDF
导出
摘要 目的探讨术前肿瘤动脉栓塞联合术中腹主动脉球囊阻断在骶骨肿瘤切除术中的应用价值。方法本研究纳入56例患者。对照组(24例)行常规外科切除骶骨肿瘤;试验组(32例)行术前骶骨肿瘤动脉栓塞联合术中腹主动脉球囊阻断。计算两组的手术时间、术中出血量、术后1年肿瘤复发率,并进行统计学分析。结果试验组患者造影显示骶骨肿瘤由多支血管供血,分别给予栓塞后在球囊阻断腹主动脉的辅助下成功切除肿瘤。试验组术中手术视野清晰,骶骨肿瘤切除时出血明显减少。术后未出现异位栓塞、肾缺血和肢体缺血等并发症。两组手术时间、术中出血量术后1年肿瘤复发率差异均有统计学意义(P<0.05)。结论术前肿瘤动脉栓塞联合腹主动脉球囊阻断能有效缩短手术时间、减少术中出血,使肿瘤切除术中的手术观野更加清晰。 Objective To investigate the clinical application of preoperative embolization of tumor feeding artery combined with intraoperative balloon occlusion of the abdominal aorta in performing the surgical resection of sacral tumors. Methods Conventional surgical excision of sacral tumors was employed in 24 patients with sacral tumors (control group), while preoperative embolization of tumor feeding artery combined with intraoperative balloon occlusion of the ahdmninal aorta was carried out in 32 patients with sacral tumors (study group). The operation time, blood loss during the surgery and the one-year recurrence rate of both groups were documented, and the results were statistically analyzed. Results Angiography showed that in the study group the sacral tumors were supplied by several vessels, and these feeding arteries were occluded separately. The tumors were successfully removed in all patients with the help of intraoperative balloon occlusion of the abdominal aorta. During the surgery, the surgical area was clearly exposed and the blood loss was remarkably reduced. After the surgery, no ectopic vascular embolization, renal isehemia, limb ischemia or other complications occurred. Statistically significant difference in the operation time, blood loss during the surgery and the one-year recurrence rate existed between the two groups (P 〈 0.05 ). Conclusion Preoperative embolization of tumor feeding artery combined with intraoperative balloon occlusion of the abdominal aorta can effectively shorten the operation time, reduce the blood loss during the surgery and provide a clear surgical field, and thus the surgical safety can be significantly ensured.
出处 《介入放射学杂志》 CSCD 北大核心 2012年第3期212-215,共4页 Journal of Interventional Radiology
关键词 栓塞 腹主动脉 球囊 骶骨 肿瘤 embolization abdominal aorta balloon sacrum tumor
  • 相关文献

参考文献11

  • 1徐国斌,刘骏方,熊斌,龙清云,胡金香,鲁植艳,梅列军.腹主动脉球囊阻断在骶骨肿瘤手术治疗中的应用[J].介入放射学杂志,2008,17(11):787-789. 被引量:12
  • 2李世德,詹新立,韦玮,李剑.暂时低位腹主动脉阻断用于骨盆、骶骨肿瘤切除术的安全性探讨[J].中华骨科杂志,2009,29(11):1038-1042. 被引量:11
  • 3Foumey DR,Rhines LD,Hentschel SJ,et al.En bloc resection of primary sacral tumors:classification of surgical approaches and outcome[J].J Neurosurg Spine,2005.3:111 - 122.
  • 4Simpson AH,Porter A,Davis A,et al.Cephalarl sacral resection with a combined extended ilioinguinal and posterior approarh[J].J Bone Joint Surg Am,1995,77:405 - 411.
  • 5Tang X,Guo W,Yang R,et al.Risk factors for blood loss during sacral tumor resect ion[J].Clin Orthop Relat Res,2009, 467:1599 - 1604.
  • 6郭会利,水根会,陈亚玲,韩新巍.骨盆肿瘤介入治疗的临床研究[J].实用放射学杂志,2003,19(10):922-924. 被引量:11
  • 7唐顺,董森,郭卫,杨荣利.腹主动脉球囊阻断控制骶骨肿瘤切除术中出血的效果[J].中国脊柱脊髓杂志,2009,19(2):85-89. 被引量:39
  • 8Mi C,Lu H,Liu H.Surgical excision of sacral tumors assisted by occluding the abdominal aorta with a balloon dilation catheter:a report of 3 rases[J].Spine(Phila Pa 1976),2005, 30:E614-E616.
  • 9Silberzweig JE,Marin ML,Hollier LH,et al.Balloon-expandable common iliac artery occluder device for endovascular aneurysm repair[J].Vasc Surg,2001,35:263 - 271.
  • 10Nader R,Alford BT,Nauta HJ,et al.Preoperative embolization and intraoperative cryocoagulation as adjuncts in resection of hypervascular lesions of the thoracolumbar spine[J].J Neurosurg,2002,97:294 - 300.

二级参考文献36

共引文献103

同被引文献247

引证文献22

二级引证文献80

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部