【摘要】 目的探讨术前肿瘤动脉栓塞联合术中腹主动脉球囊阻断在骶骨肿瘤切除术中的应用价值。方法本研究纳入56例患者。对照组(24例)行常规外科切除骶骨肿瘤;试验组(32例)行术前骶骨肿瘤动脉栓塞联合术中腹主动脉球囊阻断。计算两组的手术时间、术中出血量、术后1年肿瘤复发率,并进行统计学分析。结果试验组患者造影显示骶骨肿瘤由多支血管供血,分别给予栓塞后在球囊阻断腹主动脉的辅助下成功切除肿瘤。试验组术中手术视野清晰,骶骨肿瘤切除时出血明显减少。术后未出现异位栓塞、肾缺血和肢体缺血等并发症。两组手术时间、术中出血量术后1年肿瘤复发率差异均有统计学意义(P<0.05)。结论术前肿瘤动脉栓塞联合腹主动脉球囊阻断能有效缩短手术时间、减少术中出血,使肿瘤切除术中的手术观野更加清晰,明显提高了手术的安全性更多还原

【Abstract】 Objective To investigate the clinical application of preoperative embolization of tumor feeding artery combined with intraoperative balloon occlusion of the abdominal aorta in performing the surgical resection of sacral tumors.Methods Conventional surgical excision of sacral tumors was employed in 24 patients with sacral tumors(control group),while preoperative embolization of tumor feeding artery combined with intraoperative balloon occlusion of the abdominal aorta was canied out in 32 patients with sacral tumors(study group).The operation time,blood loss during the surgery and the one-year recurrence rate of both groups were documented,and the results were statistically analyzed.Results Angiography showed that in the study group the sacral tumors were supplied by several vessels,and these feeding arteries were occluded separately.The tumors were successfully removed in all patients with the help of intraoperative balloon occlusion of the abdominal aorta.During the surgery,the surgical area was clearly exposed and the blood loss was remarkably reduced.After the surgery,no ectopic vascular embolization,renal ischemia,limb ischemia or other complications occurred.Statistically significant difference in the operation time,blood loss during the surgery and the one-year recurrence rate existed between the two groups(P<0.05).Conclusion Preoperative embolization of tumor feeding artery combined with intraoperative balloon occlusion of the abdominal aorta can effectively shorten the operation time,reduce the blood loss during the surgery and provide a clear surgical field,and thus the surgical safely can be significantly ensured.更多还原