CAJ | 학술논문

目的评估骶、髂骨肿瘤术前经导管超选择性动脉栓塞的价值和作用.方法对15 例骶、髂骨肿瘤用明胶海绵颗粒行超选择性动脉栓塞,栓塞后1～3 d行手术切除.疾病包括:骨巨细胞瘤5 例、动脉瘤样骨囊肿2例、转移瘤2 例、软骨肉瘤4例、脊索瘤3例.结果本组15 例栓塞后造影均显示肿瘤染色范围均较术前减少80 %以上.术中失血500～2600 ml 之间,平均为1100 ml .所有肿瘤均被顺利切除.结论骶、髂骨肿瘤手术治疗前超选择性动脉栓塞能安全有效地减少术中出血, 提高肿瘤手术治疗效果并降低手术的风险.
목적 평고저、가골종류술전경도관초선택성동맥전새적개치화작용.방법대15 례저、가골종류용명효해면과립행초선택성동맥전새,전새후1～3 d행수술절제.질병포괄:골거세포류5 례、동맥류양골낭종2례、전이류2 례、연골육류4례、척색류3례.결과본조15 례전새후조영균현시종류염색범위균교술전감소80 %이상.술중실혈500～2600 ml 지간,평균위1100 ml .소유종류균피순리절제.결론 저、가골종류수술치료전초선택성동맥전새능안전유효지감소술중출혈, 제고종류수술치료효과병강저수술적풍험.
Objective To evaluate the clinical value and efficacy of transcatheter preoperative superselective arterial embolization in sacral or ilium tumors.Methods The procedures of superselective arterial embolization with gelfoam were performed in 15 cases. The lesions included giant cell tumor of bone (n = 5) , aneurysmal bone cyst (n = 2) ,chordoma (n = 2) , metastatic tumor (n = 4)and chondrosarcoma (n = 3) . The operations of resection were done 1 to 5 days after superselective arterial embolization.Results Angiograms showed marked reduction (80% or more) of the tumor's staining after embolization. In this series ,the average blood loss was 1100 ml ,during operations(aranged from 500 ml to 2600 ml),and all tumors were completely resected.Conclusion Preoperative transcatheter selective arterial embolization is an effective and safe method in reducing blood loss during operations and improving therapeutic effect for sacroiliac tumors.