论文部分内容阅读
目的:探讨术前选择性动脉栓塞在骶骨肿瘤治疗中的价值。方法:3例骶骨肿瘤患者行术前选择性动脉栓塞,2例患者使用明胶海绵栓塞,并在24h内行手术治疗,1例用明胶海绵和钢丝圈栓塞,72h内手术。结果:3例选择性动脉栓塞后行手术治疗的患者,术中出血量明显减少,分别为600ml、1100ml、2000ml,术后引流陈旧血性液体200ml~600ml。无术中休克或死亡及其他并发症。手术时间缩短,肿瘤均完整切除。结论:术前选择性动脉栓塞使骶骨肿瘤手术切除术中出血明显减少,有利于肿瘤完整切除,提高了手术的安全性。
Objective: To investigate the value of preoperative selective arterial embolization in the treatment of sacral tumors. Methods: Three patients with sacral tumor underwent preoperative selective arterial embolization. Two patients underwent gelatin sponge embolization. Surgical treatment was performed within 24 hours. One case was embolized with gelatin sponge and a traveler, and was operated within 72 hours. Results: Three patients undergoing selective arterial embolization who underwent surgical treatment had a significant reduction of blood loss during operation. They were 600ml, 1100ml and 2000ml respectively, and 200ml to 600ml of old bloody fluid were drained after operation. No intraoperative shock or death and other complications. Surgery time is shortened, the tumor is completely resected. CONCLUSION: Preoperative selective arterial embolization can significantly reduce the bleeding of sacral tumor during surgical resection, which is beneficial to the complete resection of the tumor and improve the safety of the operation.