[1]刘玉金,徐家华,武 清.骶骨肿瘤术前供血动脉栓塞的临床应用 [J].介入放射学杂志,2018,27(05):464-467.
 LIU Yujin,XU Jiahua,WU Qing.Clinical application of blood supply artery embolization of sacral tumor before surgical resection[J].journal interventional radiology,2018,27(05):464-467.
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骶骨肿瘤术前供血动脉栓塞的临床应用

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

卷:
27
期数:
2018年05期
页码:
464-467
栏目:
临床研究
出版日期:
2018-05-25

文章信息/Info

Title:
Clinical application of blood supply artery embolization of sacral tumor before surgical resection
作者:
刘玉金 徐家华 武 清
Author(s):
LIU Yujin XU Jiahua WU Qing
Department of Interventional Radiology, Affiliated Yueyang Hospital of Integrated Traditional Chinese & Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
关键词:
【关键词】 骶骨肿瘤 新辅助化疗 供血动脉
文献标志码:
A
摘要:
【摘要】 目的 评估骶骨肿瘤供血动脉的来源及术前栓塞的价值。方法 对42例骶骨肿瘤手术切除前24 h内以明胶海绵颗粒对供血动脉进行栓塞。肿瘤包括脊索瘤14例、神经鞘瘤8例、转移瘤7例、骨软骨肉瘤3例、骨肉瘤1例、骨巨细胞瘤5例、成血管细胞瘤1例、多发性骨髓瘤1例、血管肉瘤1例、成软骨细胞瘤1例。结果 根据骶骨肿瘤的位置及大小不同,供血动脉来源不一致。42例造影提示肿瘤供血动脉有98支,其中右腰2动脉1支、左腰3动脉1支、右腰3动脉3支、左腰4动脉6支、右腰4动脉8支、左腰5动脉1支、左骶外侧动脉9支、右骶外侧动脉11支、左髂腰动脉1支、右髂腰动脉6支、骶正中动脉1支、左臀上动脉10支、右臀上动脉8支、左臀下动脉10支、右臀下动脉8支、左阴部内动脉8支、右阴部内动脉6支。肿瘤染色均较术前减少75%以上,栓塞24 h内行肿瘤切除术,术中、术后24 h内出血量40~7 200 mL,平均(1 255.2±982.1) mL。所有肿瘤均顺利切除,无严重并发症。结论 骶骨肿瘤血供来源复杂,术前充分栓塞供血动脉能有效减少术中出血,降低手术危险性,提高肿瘤手术切除率。

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备注/Memo

备注/Memo:
(收稿日期:2017-11-13)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2018-05-13