摘要
目的探讨低位腹主动脉球囊阻断技术在骨盆及骶骨肿瘤切除术中的临床应用价值。方法 2005年1月-2011年6月期间,共收治骨盆和骶骨肿瘤患者156例。其中51例采用低位腹主动脉内球囊阻断技术控制术中出血(球囊组),105例行传统外科切除术(常规组)。分析两组手术时间、术中出血量、输血量、术后并发症及住院时间等差异。结果球囊组和常规组分别有92.2%(47/51)、86.7%(91/105)的患者获得整块切除或边缘切除。球囊组手术时间(171.96±65.16)min,术中出血量(746.86±722.73)mL,输血量(411.76±613.73)mL,术后引流量(294.50±146.09)mL,术后拔管时间(2.98±1.07)d,常规组分别为(223.10±111.54)min、(1 582.57±1 130.30)mL、(1 081.90±937.14)mL、(362.67±155.79)mL、(3.44±1.75)d,差异均有统计学意义(P<0.05)。而两组间住院时间、术后总体并发症比较,差异无统计学意义(P>0.05)。结论应用球囊阻断低位腹主动脉控制出血可以充分显露术野,缩短手术时间,有效控制术中出血量和输血量。适当延长球囊阻断时间,并不增加术后总体并发症的发生率,且可明显提高肿瘤整块切除率和手术安全性。
Objective To investigate the clinical efficiency of pelvic and sacrum tumor surgery using sizing balloon occlusion of the lower abdominal aorta. Methods From January 2005 to June 2011, 156 patients were diagnosed to have sacrum or pelvic tumor and underwent surgery in our institution. Temporary balloon occlusion of abdominal aorta was used in 51 patients during the resection of sacrum and pelvic tumors （balloon group）. Another 105 patients received the traditional surgery resection （control group）. The results of the whole operation time, the volume of blood loss and transfusion, the complication and the total days of stay in hospital in the two groups were compared with each other. Results After the abdominal aorta was occluded, 92.2% of the patients in the balloon group had holistic resection or edge resection, while the number was 86.7% for the control group. In the balloon group, the average operation time was （171.96 ± 65.16） minutes, the average intraoperative blood loss was （746.86 ± 722.73） mL, and the blood transfusion was （411.76 ± 613.73） mL. The postoperative lead flow was （294.50 ±146.09） mL, and the postoperative tube removal was within （2.98 ±1.07） days. Improvement of patients＇ condition was significantly better than the control group （P 〈 0.05）. No significant difference was found in the total days of stay in hospital and the postoperative complications between the two groups （P 〉 0.05）. Conclusions Using abdominal aorta occlusion can effectively control intraoperative hemorrhage, and show the operation field clearly. It also can reduce operation time and control the blood transfusions. Appropriately extended balloon blocking time can obviously improve the tumor removal rate and the safety of the operation.
出处
《华西医学》
CAS
2014年第3期494-498,共5页
West China Medical Journal
关键词
骶骨肿瘤
骨盆肿瘤
球囊阻断
腹主动脉
并发症
Sacrum tumor
Pelvic tumor
Balloon occlusion
Abdominal aorta
Complication
