[1]刘向东,赵家宁,吴文娟,等. 骨盆肿瘤术前栓塞对骨科手术后切口愈合的影响[J].介入放射学杂志,2014,(04):340-342.
 LIU Xiang-dong,ZHAO Jia-ning,WU Wen- juan,et al. Influence of preoperative embolization on incision healing after orthopedic surgery in patients with pelvic tumors: analysis of 119 cases[J].journal interventional radiology,2014,(04):340-342.
点击复制

 

骨盆肿瘤术前栓塞对骨科手术后切口愈合的影响

()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年04期
页码:
340-342
栏目:
临床研究
出版日期:
2014-04-29

文章信息/Info

Title:
 Influence of preoperative embolization on incision healing after orthopedic surgery in patients with pelvic tumors: analysis of 119 cases
作者:
 

刘向东 赵家宁 吴文娟 张国川

Author(s):
 LIU Xiang-dong ZHAO Jia-ning WU Wen- juan ZHANG Guo-chuan.
 Department of International Radiology, the Third Hospital, Hebei Medical University, Shijiazhuang, Hebei Province 050051, China
关键词:
 

【关键词】 骨盆肿瘤 栓塞 切口愈合 末梢血管

文献标志码:
A
摘要:
 

【摘要】 目的 探讨骨盆肿瘤术前栓塞对骨科手术后切口愈合的可能影响机制。方法 收集2000年1月—2012年12月骨盆肿瘤患者119例,在骨盆肿瘤术前先行栓塞,观察骨科手术后切口愈合情况。119例中,65例栓塞材料以明胶海绵颗粒和明胶海绵条为主,为海绵组;54例栓塞材料以弹簧钢圈为主、明胶海绵条为辅,为钢圈组。分别统计两组骨科手术后发生切口延迟愈合及不愈合患者的例数,并比较组间差异有无统计学意义。结果 骨科手术后,海绵组切口延迟愈合及不愈合11例,发生率为16.9%(11/65);钢圈组切口延迟愈合及不愈合2例,发生率为3.7%(2/54),组间差异有统计学意义(P < 0.05)。结论 末梢血管床的栓塞可能是骨盆肿瘤术前栓塞导致骨科手术后切口延迟愈合及不愈合的重要原因,通过改变栓塞材料有效的保护末梢血管床可以明显降低骨科手术后切口延迟愈合及不愈合的发生率。

参考文献/References:

 

[1] Campbell CA, Chang DW. Vascularized femur flap for stabilization after combined total sacrectomy and external hemipelvectomy[J]. Plast Reconstr Surg, 2012, 129: 888e ?蛳 889e.

[2] Arkader A, Yang CH, Tolo VT. High long?蛳 term local control with sacrectomy for primary high?蛳 grade bone sarcoma in children[J]. Clin Orthop Relat Res, 2012, 470: 1491 ?蛳 1497.

[3] 刘玉金, 杨仁杰, 张秀美, 等. 骨盆骨肿瘤的介入治疗[J]. 介入放射学杂志, 2007, 16: 232 ?蛳 234.

[4] Li GD, Fu D, Chen K, et al. Surgical strategy for the management of sacral giant cell tumors: a 32?蛳 case series[J]. Spine J, 2012, 12: 484 ?蛳 491.

[5] Raskin KA, Schwab JH, Mankin HJ, et al. Giant cell tumor of bone[J]. J Am Acad Orthop Surg, 2013, 21: 118 ?蛳 126.

[6] Honda H, Yoshida T, Shibue C, et al. Use of aortic occlusion balloon catheter for sacral giant cell tumor resection[J]. Masui, 2012, 61: 610 ?蛳 613.

[7] He S, Li P, Chen CH, et al. Effective oncolytic vaccinia therapy for human sarcomas[J]. J Surg Res, 2012, 175: e53 ?蛳 e60.

[8] 陈文华, 王 祁, 何忠明, 等. 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[J]. 介入放射学杂志, 2012, 21: 212 ?蛳 215.

[9] Gerbers JG, Jutte PC. Hip?蛳 sparing approach using computer navigation in periacetabular chondrosarcoma[J]. Comput Aided Surg, 2013, 18: 27 ?蛳 32.

[10] Rudert M, Holzapfel BM, Pilge H, et al. Partial pelvic resection (internal hemipelvectomy) and endoprosthetic replacement in periacetabular tumors[J]. Oper Orthop Traumatol, 2012, 24: 196 ?蛳 214.

[11] 徐国斌, 刘骏方, 熊 斌, 等. 腹主动脉球囊阻断在骶骨肿瘤手术治疗中的应用[J]. 介入放射学杂志, 2008, 17: 787 ?蛳 789.

相似文献/References:

[1].Spontaneous regression of a giant basilar artery aneurysm in a young adult after surgical injury :case report and literature review[J].介入放射学杂志,2007,(10):718.
 ZHANG He,LI Ming-hua,WANG Chun,et al.Spontaneous regression of a giant basilar artery aneurysm in a young adult after surgical injury :case report and literature review[J].journal interventional radiology,2007,(04):718.
[2]李统怀,郑红枫. 子宫动脉栓塞治疗子宫瘢痕妊娠11例[J].介入放射学杂志,2011,(11):898.
 LI Tong-huai,ZHENG Hong-feng..Clinical application of uterine artery embolization in treating uterine scar pregnancy[J].journal interventional radiology,2011,(04):898.
[3]吕维富,张爱武,周春泽,等. 子宫动脉的三维DSA表现及其最佳显示体位探讨[J].介入放射学杂志,2011,(11):853.
 LV Wei-fu,ZHANG Ai-wu,ZHOU Chun-ze,et al.3D-DSA findings of uterine artery and its optimal projection position[J].journal interventional radiology,2011,(04):853.
[4]张 靖,周少毅,陈昆山,等.经导管动脉硬化栓塞联合注射硬化治疗婴儿颌面部巨大高流量血管瘤[J].介入放射学杂志,2011,(11):848.
 ZHANG Jing,ZHOU Shao-yi,CHEN Kun-shan,et al.Transcatheter arterial sclerosing embolization with injection sclerotherapy for the treatment of huge and high-flow maxillofacial hemangiomas in infants[J].journal interventional radiology,2011,(04):848.
[5]谢小西,吕银祥,章宏欣,等. 肝动脉化疗栓塞、射频消融联合125Ⅰ粒子植入 治疗原发性肝癌的临床应用[J].介入放射学杂志,2011,(11):863.
 XIE Xiao-xi,LV Yin-xiang,ZHANG Hong-xin,et al.The clinical application of TACE together with RFA and 125Ⅰ seed implantation in treating hepatocellular carcinoma[J].journal interventional radiology,2011,(04):863.
[6]王铭义,王 峰. 脑灌注成像在颈动脉狭窄介入治疗中的应用[J].介入放射学杂志,2011,(11):915.
 WANG Ming-yi,WANG Feng..Application of brain perfusion imaging in interventional treatment of carotid artery stenosis[J].journal interventional radiology,2011,(04):915.
[7]杜 猛,张锦生. 介入治疗急性深静脉血栓的临床观察[J].介入放射学杂志,2011,(11):858.
 DU Meng,ZHANG Jing-sheng..Interventional therapy for acute deep venous thrombosis: a clinical observation[J].journal interventional radiology,2011,(04):858.
[8]孟庆娜,李国庆,白晓冬. 急性心肌梗死介入治疗术中恶心呕吐的护理[J].介入放射学杂志,2011,(11):913.
 MENG Qing-na,LI Guo-qing,BAI Xiao-dong..The nursing care of nausea and vomiting occurred in interventional treatment for acute myocardial infarction[J].journal interventional radiology,2011,(04):913.
[9]王海亭,蒋忠仆,周 毅,等. 透视引导下鱼肝油酸钠泡沫硬化剂治疗下肢静脉曲张30例[J].介入放射学杂志,2011,(11):905.
 WANG Hai-ting,JIANG Zhong-pu,ZHOU Yi,et al.Fluoroscopically-guided foam sclerotherapy with sodium morrhuate for the treatment of lower extremity varices[J].journal interventional radiology,2011,(04):905.
[10]杜 鲲,管 生,胡小波,等. 原发性肝癌TACE术后完全缓解病灶磁共振 ADC值可重复性及一致性研究[J].介入放射学杂志,2011,(11):867.
 DU Kun,GUAN Sheng,HU Xiao-bo,et al.Magnetic resonance apparent diffusion coefficient values of the completely remitted lesions of primary hepatocellular carcinoma after TACE: a study of their repeatability and consistency[J].journal interventional radiology,2011,(04):867.

备注/Memo

备注/Memo:
 收稿日期:2013-10-08
更新日期/Last Update: