Objective To analyze the influence on the functions of the sacral nerves after curettage and local pouring chemotherapy and radiotherapy by the approach in ante rior with posterior to treat the high sacral tumors.Meth...Objective To analyze the influence on the functions of the sacral nerves after curettage and local pouring chemotherapy and radiotherapy by the approach in ante rior with posterior to treat the high sacral tumors.Methods24cases,include their oncology results and functions of the sacral nerves were a nalyzed.Results Average follow-up 56months,3malig nant cases were died of the tumor meta stasis.4recurrent cases were recurred after treatment between 13to 32months.Fo r the tumor curettage demand,the one side S 2 nerve of 2cases and the S 2 ,3nerve of 1case were cut off.The oth er case’ s sacral nerves were reserved comple tely.Conclusions This treatment method by local chemotherapy and radiotherapy to tr eat the high sacral tumors was not inf luence on the functions of the sacral nerves.展开更多
Objetive:To evaluate the efficacy of preoperative transcatheter arterial embolization in the treatment of sacral chordoma,and to explore the choice of embolization timing.Methods:32 patients underwent the posterior ap...Objetive:To evaluate the efficacy of preoperative transcatheter arterial embolization in the treatment of sacral chordoma,and to explore the choice of embolization timing.Methods:32 patients underwent the posterior approach after TAE of the main arteries that supplied the sacral chordoma.Intraoperative bleeding amount of each patient was recorded and compared between-group differences at different operation times.Results:After embolization,12 patients were received resection within 24 hours(group A),that of 10 cases between 24~48h(group B),of another 10 cases between 48~72h(group C).All of the 32 tumors were removed intact with intraoperative bleeding about(894±199)ml,without any shock or death,nor injuries on abdominal organs such as rectum and ureter.There was no statistical significance in tumor size among group A,B and C(P>0.05).Data gave statistical significance in intraoperative blood loss between group A and B(P<0.01),there was no statistical differences between group B and C(P>0.05),in spite of group B slightly less than group C.Conclusion:Preoperative TAE for excising the sacral tumor can significantly decrease intraoperative blood loss,make the surgical field clear,and facilitate the maximal removal of the sacral chordoma.It would be best to select the embolization timing within 24 hours before surgical operation.展开更多
文摘Objective To analyze the influence on the functions of the sacral nerves after curettage and local pouring chemotherapy and radiotherapy by the approach in ante rior with posterior to treat the high sacral tumors.Methods24cases,include their oncology results and functions of the sacral nerves were a nalyzed.Results Average follow-up 56months,3malig nant cases were died of the tumor meta stasis.4recurrent cases were recurred after treatment between 13to 32months.Fo r the tumor curettage demand,the one side S 2 nerve of 2cases and the S 2 ,3nerve of 1case were cut off.The oth er case’ s sacral nerves were reserved comple tely.Conclusions This treatment method by local chemotherapy and radiotherapy to tr eat the high sacral tumors was not inf luence on the functions of the sacral nerves.
文摘Objetive:To evaluate the efficacy of preoperative transcatheter arterial embolization in the treatment of sacral chordoma,and to explore the choice of embolization timing.Methods:32 patients underwent the posterior approach after TAE of the main arteries that supplied the sacral chordoma.Intraoperative bleeding amount of each patient was recorded and compared between-group differences at different operation times.Results:After embolization,12 patients were received resection within 24 hours(group A),that of 10 cases between 24~48h(group B),of another 10 cases between 48~72h(group C).All of the 32 tumors were removed intact with intraoperative bleeding about(894±199)ml,without any shock or death,nor injuries on abdominal organs such as rectum and ureter.There was no statistical significance in tumor size among group A,B and C(P>0.05).Data gave statistical significance in intraoperative blood loss between group A and B(P<0.01),there was no statistical differences between group B and C(P>0.05),in spite of group B slightly less than group C.Conclusion:Preoperative TAE for excising the sacral tumor can significantly decrease intraoperative blood loss,make the surgical field clear,and facilitate the maximal removal of the sacral chordoma.It would be best to select the embolization timing within 24 hours before surgical operation.
