CAJ | 학술논문

目的：探讨骨盆巨大肿瘤的手术治疗方法。方法我院自2000年1月~2007年12月共收治21例骨盆巨大肿瘤患者，男17例，女4例，平均55（35~65）岁。其中骶骨脊索瘤8例，髂骨软骨肉瘤5例，软骨母细胞瘤4例，骨巨细胞瘤3例，骨肉瘤1例，均采用双侧或单侧髂总动脉暂时阻断的方法行手术切除。结果所有患者术后获得0.5~6年（平均4年）随访，脊索瘤4例局部复发，1例死于肺部转移全身衰竭，1例于术后1年半死于肺部转移，其余无复发；8例出现手术部位不明原因疼痛不适。结论术中采用双侧或单侧髂总动脉暂时阻断的方法可明显减少术中出血，尽量彻底切除瘤体及维持骨盆稳定性等，可明显提高骨盆巨大肿瘤患者的手术疗效。
목적：탐토골분거대종류적수술치료방법。방법아원자2000년1월~2007년12월공수치21례골분거대종류환자，남17례，녀4례，평균55（35~65）세。기중저골척색류8례，가골연골육류5례，연골모세포류4례，골거세포류3례，골육류1례，균채용쌍측혹단측가총동맥잠시조단적방법행수술절제。결과소유환자술후획득0.5~6년（평균4년）수방，척색류4례국부복발，1례사우폐부전이전신쇠갈，1례우술후1년반사우폐부전이，기여무복발；8례출현수술부위불명원인동통불괄。결론술중채용쌍측혹단측가총동맥잠시조단적방법가명현감소술중출혈，진량철저절제류체급유지골분은정성등，가명현제고골분거대종류환자적수술료효。
Objective To explore the method of surgical treatment for giant tumors of the pelvis. Methods 21 cases with giant tumors of the pelvis were hospitalized in the period from Jan. ,2000 to Dec. ,2007,17 male and 4 female,the average age was 55 years old(from 35 to 65),including 8 cases of sacral chordoma,5 cases of iliac chondrosarcoma,4 cases of chondroblastoma,3 cases of giant cell tumor(GCT)of bone and 1 case of osteosarcomas;all the patients underwent surgical resection with temporary blocking of bilateral or unilateral common iliac arteries. Results Follow-up lasted from 0. 5 year to 6 years with the average of 4 years;local reoccurrence was found in 4 cases of sacral chordom,1 case died of lung metastases and systemic failure,1 case died of lung metastases 1. 5 year after surgery;no reoccurrence was found in other cases;8 cases had discomfort with pain of unknown causes in the operation sites. Conclusions Temporary blocking of bilateral or unilateral common iliac artery in operation can obviously reduce the bleeding, make a complete resection of the tumors at most and maintain the stability of the pelvis,which raises the surgical effect on patients with giant tumors of pelvis.