经导管动脉栓塞在治疗骶骨肿瘤中的应用

Application of transcatheter arterial embolization in sacrum tumor

目的:探讨骶骨肿瘤术前经导管动脉栓塞治疗的应用价值。 方法 :对 11例骶骨肿瘤病人术前经导管动脉栓塞 ,栓塞后第 2天进行手术。结果:术中出血量较前明显减少 ,平均为 112 0 m l,且肿瘤发生部分坏死 ,体积缩小 ,9例肿块被完全切除 ,无一例出现严重并发症。结论 :骶骨肿瘤术前经导管动脉栓塞治疗是一种有效的减少出血的方法 ,有利于肿瘤的切除 。

Objective: To study and evaluate the efficiency of transcatheter arterial embolization in the treatment of sacrum tumor. Methods: Eleven cases of sacrum tumor were embolized through transcatheter arterial emobolization with gelfoam, then were operated on the next day. Results: Tremendous decrease of blood loss was found in 10 cases. The average volume of blood loss was 1120 ml. All the tumors underwent necrosis and liquefaction, and the volume of tumor was decreased. Tumor was completely resected in 9 cases. There were no serious complications in all of the cases. Conclusion: Transcatheter arterial embolization would be an effective method for reducing the volume of intraoperative blood loss, and is advantageous to the resection of tumor. This method should be spread clinically.