摘要
目的探讨脊柱肿瘤切除术前超选择供血动脉栓塞的应用价值。方法收集2009年1月至2015年9月我院收治的脊柱肿瘤患者65例,术前应用Seldinger技术经股动脉先行造影及超选择供血动脉栓塞,记录栓塞效果、术中出血量。结果 62例造影显示病变椎体明显染色,均可见肿瘤供血动脉,3例造影未显示明显的肿瘤供血动脉,肿瘤无明显染色征象,随即放弃栓塞,造影检查供血动脉阳性率约95.3%（62/65）,其中1例栓塞插管不成功,其余61例均栓塞成功,栓塞后成功实施病灶完整切除,术中出血量500~3 000 mL,平均（1 400.65±230.62）mL。结论超选择供血动脉栓塞术可减少脊柱肿瘤切除术中出血,降低脊柱肿瘤切除术中风险,增加了彻底切除肿瘤的可能性,是有效的术前干预方法。
Objective To study the application of transcatheter superselective arterial embolization for the spinal tumorectomy preoperative. Methods From January 2009 to September 2015,the data of 65 patients with spinal tumor were collected. Before operation,all the patients had been performed the transcatheter superselective arterial embolization by Seldinger technology,the embolization effect and the blood loss volume were recorded. Results The pathological vertebral body of 62 patients were significantly dyed and the tumor-feeding artery were obvious. But no obvious tumor-feeding artery and the tumor dyeing was found in 3 cases. The tumor-feeding artery positive incidence of angiography was 95. 3%（ 62 /65）. All cases intubation was successful but one. After embolization,the pathological vertebral body was removed completely. The blood loss volume was 500- 3 000 m L,with an average（ 1 400. 65 ± 230. 62） m L. Conclusion The transcatheter superselective arterial embolization could reduce the blood loss in spinal tumorectomy and the operation risks,and increase the possibilities of radical resection,which is an effective preoperative intervention.
出处
《局解手术学杂志》
2016年第4期273-275,共3页
Journal of Regional Anatomy and Operative Surgery
