暂时阻断腹主动脉行骶骨肿瘤切除术

The application of temporary blockage of abdominal aortae in removal of sacral tumor.

目的探讨9例经暂时阻断腹主动脉行骶骨肿瘤切除术的临床效果。方法 9例骶骨肿瘤患者手术经腹部和骶尾部联合入路,用"鞋带"式硅胶管暂时阻断腹主动脉,并行骶骨肿瘤切除术,平均阻断1.6小时。结果 9例患者平均输血1100ml,术后症状明显缓解或消失,双下肢功能正常。结论与传统的方法相比,该手术方式具有视野清晰,创面渗血少,瘤体剥离完整等优点。

Objective To investigate the surgical effects of sacral tumor removal with temporary blockage of abdominal aortae in 9 patients. Methods Nine patients with sacral tumor received the operation with a combining approach of abdominal and sacrococcygeal incisions. After the abdominal aortae temporarily blocked with a shoestring-like silicone tube, the sacral tumor was removed. The average blocking time was 1.6h. Results All the patients' syndromes were ameliorated or disappeared, and the normal functions of lower limbs revealed. Conclusion Compared with the traditional operations, this method has the advantages of clear operating fields and little bleeding of wound, and is favorite for the complete removal of the tumor.