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目的探讨腹膜后巨大神经源性肿瘤外科切除术前载瘤血管栓塞的初步经验。方法回顾性分析2006-08—2007-05腹膜后巨大神经神经源性肿瘤外科切除术前介入栓塞病例5例,介入术中数字减影血管造影,明确载瘤动脉支后均行血管栓塞,择期外科手术切除。结果5例患者外科术前血管造影及载瘤动脉支栓塞成功,外科术中输血0～400 ml;其中完整切除4例,部分切除1例。结论腹膜后巨大神经源性肿瘤外科切除术前载瘤血管栓塞完全可以达到减少术中出血的目的,栓塞程度应该个体化。
Objective To investigate the preliminary experience of tumor embolization before surgical excision of huge retroperitoneal neurogenic tumors. Methods Retrospective analysis of 5 cases of interventional embolization before surgical resection of giant retroperitoneal neurogenic tumors from August 2006 to July 2007 with digital subtraction angiography. Surgical removal. Results Five patients underwent preoperative angiography and successful embolization of arterial artery embolization. Transfusion of blood was 0-400 ml during surgery. Among them, 4 cases were completely resected and 1 case partially resected. Conclusion The retroperitoneal giant neurogenic tumors before surgical resection of tumor embolization can achieve the purpose of reducing intraoperative bleeding, embolization should be individualized.