【摘要】 目的　探讨骶骨脊索瘤的诊治及并发症的预防。方法　本组 1 2例骶骨脊索瘤患者 ,术中 5例行腹主动脉暂时套扎 ,7例行球囊导管腹主动脉血流阻断后 ,再将骶骨肿瘤切除。初次手术患者 1 1例 ,第二次手术患者 1例。结果　 1 2例患者中 ,2例发生术后切口部分感染、坏死 ;1例出现局部巨大血肿 ;2例患者术后肿瘤复发。随访 3个月至 7年 ,平均 3 2年。术中无一例死亡。结论　骶骨脊索瘤的手术切除成功的关键在于有效地控制术中失血。球囊导管腹主动脉阻断术阻断血流安全、可靠 ,能明显减少术中出血。术前准备工作在保证手术的安全方面具有同样的重要性。更多还原

【Abstract】 Objective To study the diagnosis and treatment of sacral chordomas and prevent its complications.Methods There were 12 patients with sacral chordomas,Temporary occlusion of the abdominal aorta was underwent with string in 5 patients and with dual balloon catheters in 7 cases during the operation,then sacral chordmas were resected,primary resection was performed in 11 patients and secondry operation in 1 cases.Result Among 12 patients,the infection or necrosis of the margin around partial skin incision occurred in 2 cases and local large hematom happened in 1 case after operation.Local recurrence was observed in 2 patients.A11 cases were followed up from 3 months to 7 year with an average period of 3.2 years.None of case died during the operation.Conclusion Effective bleeding control is the key points of a successful operation in sacral chordomas.Temporary balloon occlusion of abdominal aorta is safe and reliable method to reduce bleeding obviously.Ample preoperative preparation also plays an very important role in keeping the safety of the operation.更多还原