[1]徐家华,顾小强,钱建新,等.骶骨肿瘤血供特点及栓塞后术中出血的分析[J].介入放射学杂志,2019,28(12):1148-1150.
　XU Jiahua,GU Xiaoqiang,QIAN Jianxing,et al.Blood supply characteristics of sacral tumors and analysis of intraoperative hemorrhage after embolization[J].journal interventional radiology,2019,28(12):1148-1150.
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骶骨肿瘤血供特点及栓塞后术中出血的分析()

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

卷:
28
期数:
2019年12期
页码:
1148-1150
栏目:
肿瘤介入
出版日期:
2019-12-28

文章信息/Info

Title:
Blood supply characteristics of sacral tumors and analysis of intraoperative hemorrhage after embolization
作者:
徐家华;  顾小强;  钱建新;  于观贞;  武 清
Author(s):
XU Jiahua;  GU Xiaoqiang;  QIAN Jianxing;  YU Guanzheng;  WU Qing.
Department of Oncology, Affiliated Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
关键词:
【关键词】 骶骨;  肿瘤;  栓塞;  明胶海绵;  腰动脉
文献标志码:
A
摘要:
【摘要】 目的 探讨骶骨肿瘤供血特点以及术前腰动脉栓塞在骶骨肿瘤切除术中止血的应用价值。方法 纳入42例骶骨肿瘤患者，包括脊索瘤14例、神经鞘瘤8例、转移瘤7例、骨巨细胞瘤5例和其他肿瘤8例。采用血管造影观察骶骨肿瘤供血情况，对腰动脉供血的骶骨肿瘤用明胶海绵超选择性动脉栓塞，栓塞后24 h内行手术切除。 结果 42例肿瘤中有14例（33.3%）存在腰动脉供血，腰动脉供血与骶骨肿瘤大小相关（P=0.023）。对14例患者的20支腰动脉供血支（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）栓塞后，术中出血量为200～5 000 mL，中位出血量1 550 mL。 结论 术前超选择性腰动脉栓塞能有效地减少术中出血，降低手术危险性，提高肿瘤手术切除率，是十分有效的方法，可推广为临床术前操作标准模式。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：2019- 03- 14）
（本文编辑：俞瑞纲）
更新日期/Last Update: 2019-12-27