介入栓塞在脊柱肿瘤外科手术中的应用

Pre-operative interventional embolization of spinal tumors

目的探讨介入栓塞在脊柱肿瘤外科手术中的应用效果。方法选择2014年6月至2015年11月间漳州市医院收治的60例脊柱肿瘤患者,根据是否进行介入栓塞治疗分为观察组(32例)和对照组(28例),比较两组患者手术创伤情况、手术后并发症和恢复情况。结果观察组患者手术用时[(185±21)min]、手术中出血量[(925.5±12.5)ml]、术后并发症发生率(18.8%)、术后输血量[(325.2±8.5)ml]、引流时间[(4.1±0.5)d]和住院时间[(12.5±1.2)d]均明显低于对照组,组间差异有统计学意义(P<0.05)。结论术前介入栓塞治疗能在很大程度上降低手术出血,还能缩短手术时间,手术后恢复更快,值得临床推广应用。

Objective To summarize and analyze the effects of application of interventional embolization in the surgical procedure for spinal tumors. Methods Identify 60 patients with spinal tumor treated in Zhangzhou Hospital from June 2014 to November 2015. According to whether interventional embolization therapy was used,patients were divided into embolism group（ 32 patients） and control group（ 28 patients）. Surgical trauma,postoperative complications and recovery in the two groups of patients were observed. Results Compared with control group,length of procedure time（ 185 ± 21 min）,intraoperative bleeding volume（ 925. 5 ± 12. 5 ml）,incidence of postoperative complications（ 18. 8%）,postoperative blood transfusion volume（ 325. 2 ± 8. 5 ml）,length of drainage time（ 4. 1 ± 0. 5 d） and length of hospital stay（ 12. 5 ± 1. 2 d） were significantly lower in embolism group,with a statistically significant difference between the two groups（ P〈0. 05）. Conclusion Preoperative interventional embolization can reduce the bleeding during the operation to a large extent,shorten the operation time and facilitate recovery. Thus,it is worth to be popularized.