CAJ | 학술논문

目的研究和评价经数字减影造影术(DSA)介入后手术治疗骶骨肿瘤的价值。方法 24例骶骨肿瘤术前经双侧髂内动脉行DSA介入治疗，介入后1周内行手术切除肿瘤。结果全部病例肿瘤均顺利切除，术中出血减少，平均出血量为1 200 ml；20例获随访，平均随访28个月，仅1例局部复发，2例恶性肿瘤死亡。结论经DSA介入后手术治疗骶骨肿瘤，可有效减少术中出血及手术并发症。
목적연구화평개경수자감영조영술(DSA)개입후수술치료저골종류적개치。방법 24례저골종류술전경쌍측가내동맥행DSA개입치료，개입후1주내행수술절제종류。결과전부병례종류균순리절제，술중출혈감소，평균출혈량위1 200 ml；20례획수방，평균수방28개월，부1례국부복발，2례악성종류사망。결론경DSA개입후수술치료저골종류，가유효감소술중출혈급수술병발증。
Objective　To study and evaluate the significance of surgical removal of sacral tumor after bilateral internal iliac arterial treatment with digital subtraction angiography (DSA). Methods　24 cases of sacral tumor were treated with DSA through bilateral internal iliac arteria. Sacral tumor was removed by operation after DSA in a week. Results　Blood loss was decreased markedly in all cases during surgery, and the tumors were removed completely. The average blood loss was 1 200 ml. 20 cases were followed up for 28 months on average. 1 recurrence and 2 matastasis of the tumor were found. Conclusion　Preoperative DSA is effective in decreasing intraoperative blood loss and operative complications.