术前栓塞联合锁骨下动脉球囊阻断在肩胛带富血供肿瘤外科切除中的应用

Application of preoperative embolization combined with subclavian artery balloon occlusion in surgical resection of shoulder girdle tumor with rich blood supply

目的探究术前栓塞联合锁骨下动脉球囊阻断在肩胛带富血供肿瘤外科切除术中的应用价值。方法回顾性分析2016年10月至2018年10月在北京大学人民医院行肩胛带富血供肿瘤切除术的6例患者的病历资料,均接受术前栓塞联合术中锁骨下动脉球囊阻断技术,评估该方法的安全性及有效性。结果 6例患者均顺利完成手术,手术时间120~380 min,球囊阻断时间40~100 min,除1例胸腔巨大肿物侵及肩胛带区出血量大(5 000 ml),其余5例出血量均不大(100~800 ml)。除1例行肩胛带离断术外,其余5例术后远端肢体血运正常,无神经系统并发症。结论肩胛带富血供肿瘤外科切除患者联合应用术前栓塞及术中锁骨下动脉球囊阻断是安全、有效的。

Objective To evaluate the value of preoperative embolization combined with subclavian artery balloon occlusion in surgical resection of shoulder girdle tumor with rich blood supply.Methods Clinical data of 6 cases of shoulder girdle tumor with rich blood supply who were treated by preoperative embolization combined with intraoperative subclavian artery balloon occlusion between October 2016 and October 2018 in Peking University People’s Hospital were retrospectively analyzed.Surgical efficacy and safety were evaluated.Results All patients successfully completed the operation;the operative time was 120-380 min;the balloon occlusion time was 40-100 min.Except that 1 patient with large thoracic tumor invading shoulder girdle had large blood loss(5 000 ml),other 5 patients had blood loss of 100-800 ml.One patient had forequarter amputation;5 patients with salvage surgery showed good blood flow in distal limb after operation.No neurological complication was observed.Conclusion Preoperative embolization combined with intraoperative subclavian artery balloon occlusion is safe and effective in surgical resection of shoulder girdle tumor with rich blood supply.