胸部巨大肿瘤切除术前介入栓塞的临床应用

Clinical application of interventional embolization before surgical resection of giant thoracic tumor

为了探讨胸部巨大肿瘤切除术前介入栓塞的临床应用价值,对7例经胸部CT确诊的胸部巨大肿瘤患者行手术前介入栓塞治疗。栓塞术后第2天行肿瘤切除术。造影可见参与肿瘤供血动脉均为多支,增粗、迂曲,远端分支增多、杂乱。7例患者均顺利切除肿瘤,无介入栓塞及外科手术相关并发症发生,手术中平均出血量较以往未行术前栓塞者明显减少,手术时间也明显缩短。初步治疗体会,对胸部巨大肿瘤切除术前栓塞肿瘤供血动脉可明显减少术中出血、缩短手术时间、减少并发症发生,是一种安全有效的治疗方法。

The objective of this study was to discuss the clinical application value of endovascular interventional embolization before surgical resection of giant thoracic tumor. Seven patients with giant thoracic tumor were diagnosised by CT, and were given thoracic artery angiography. The arteries that supplied thoracic tumor were given interventional embolization with PVA and gelatin sponge. The surgical resection of giant thoracic tumors was given in 2 days after the embolization. The angiography showed that supplied thoracic tumors were characterized by enlargement and circuity of feeding arteries, increasing tumor vessels, and staining of the tumor. None serious complication appeared. Blooding quantities were obviously reduced and the operation time was a little reduced. In conclusion, pre operation interventional embolization has an obvious help to surgical resection of giant thoracic tumors and can avoid complications. It is a safe and effective way for surgical resection.