骨盆肿瘤术前导管栓塞供血动脉的效果分析

Therapeutic analysis of preoperative transcatheter feeding arterial embolization for pelvic tumor

目的 :探讨骨盆肿瘤血供特点及术前导管栓塞的临床价值。方法 :术前对骨盆肿瘤的供血动脉进行导管栓塞 ,栓塞后进行手术治疗。结果 :血管造影显示丰富、多支动脉供血 ,一次均成功给予选择性栓塞。栓塞后造影见肿瘤供血动脉闭塞 ,染色消失 ,病变区可见碘油沉积 ,手术时肿瘤均全部切除。结论 :术前靶血管栓塞能降低手术的危险性 ,增加肿瘤切除率 ,同时也减少术中失血。

Objective To study the feature of blood supply and the clinical value of preoperative embolization in pelvic tumor.Method Transcatheter feeding arterial embolization was carried out and then operation was performed.Results Although angiography showed abundant feeding artery,selective embolization was successfully completed once.Occlusion of feeding artery,disappearance of vessel stain,and deposition of lipiodol within the tumor were seen after embolization.The tumors were entirely sectioned.Conclusion Preoperative targeted vessel embolization can decrease the danger of operation,increase cut rate and also reduce intraoperative hemorrhage.