摘要
目的 探讨术前超选择性动脉栓塞术在骶骨肿瘤手术治疗中的应用效果。方法 回顾性分析河南省人民医院骨科2010年7月至2022年1月收治的骶骨肿瘤患者86例,所有患者均为初诊患者,其中男47例,女39例,按是否给予术前超选择性动脉栓塞术分成两组,常规组(46例)术前未给予任何止血措施,术前超选择性动脉栓塞术组(40例)于术前1 d接受术前超选择性动脉栓塞术。对比两组患者的手术时间、术中出血量、输血量、术后住院时间、术后深静脉血栓发生率和复发率、切口相关并发症发生率,评价术前超选择性动脉栓塞术在骶骨肿瘤手术中的临床效果。结果 与常规组相比,术前超选择性动脉栓塞组手术时间较短,术中出血量和输血量较少,术后住院时间较短(P<0.05)。两组患者术后深静脉血栓发生率和术后6、12个月复发率比较差异无统计学意义(P>0.05)。术前超选择性动脉栓塞组患者术后切口相关并发症发生率低于常规组(P<0.05)。结论 在骶骨肿瘤手术术前合理地应用超选择性动脉栓塞术,具有简便易行、安全可靠、效果显著等优势,可有效降低手术时间、术中出血量及输血量,术后相关并发症发生率较低。
Objective To investigate the application efficacy of preoperative super-selective arterial embolization for sacral tumor treatment.Methods From July 2010 to January 2022,a total of 86 patients with sacral tumors were surgically treated in Henan Provincial People’s Hospital,all of whom were newly diagnosed patients,including 47 males and 39 females.The patients were divided into two groups according to whether preoperative super-selective arterial embolization was given.The conventional group(46 cases)did not receive any hemostatic measures before surgeries.The preoperative super-selective arterial embolization group(40 cases)received preoperative super-selective arterial embolization one day before surgeries.The operative time,intraoperative bleeding,volume of blood transfusion,postoperative hospital stay,the incidence and recurrence rate of postoperative deep vein thrombosis,and the incidence of incision-related complications were compared between the two groups.And the clinical effect of preoperative super-selective arterial embolization for sacral tumor were evaluated between the two groups.Results Compared with the conventional group,the preoperative super-selective arterial embolization group had shorter operative time,less blood loss,less blood transfusion and shorter postoperative hospital stay(P<0.05).The incidence of postoperative deep vein thrombosis and the recurrence rate at the time of 6 and 12 months after the operations were not statistically significant between the two groups(P>0.05).Moreover,the incidence of postoperative incision-related complications in the preoperative super-selective arterial embolization group was lower than that in the conventional group(P<0.05).Conclusion The preoperative super-selective arterial embolization technique is simple,feasible,safe,reliable and effective in the treatment of sacral tumors,with the advantages of reduced the operation time,less intraoperative blood loss and transfusion,and lower incidence of complications.
作者
张瑜哲
钟楚楠
郑磊
刘继军
ZHANG Yuzhe;ZHONG Chunan;ZHENG Lei;LIU Jijun(Department of Orthopedics,Henan Provincial People’s Hospital,Zhengzhou 450003,China)
出处
《河南医学研究》
CAS
2023年第9期1574-1577,共4页
Henan Medical Research
关键词
动脉栓塞
骶骨肿瘤
并发症
arterial embolization
sacral tumor
complication