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目的:分析探讨恶性骨肿瘤术前行动脉插管化疗栓塞的价值。材料与方法:12例中,10例经活检病理证实为恶性骨肿瘤,2例结合患者既往病史及有关影像学资料诊断为骨转移瘤;12例病例在术前5至7天内均进行了动脉插管化疗,其中8例在超选择性动脉插管后,还进行了栓塞治疗。结果:全部患者的临床症状短时间内均有显著的改善,其中8例在插管后5至7天内进行了瘤段切除的保肢手术,另4例则行姑息切除术,手术后病理证实肿瘤均有不同程度的坏死、液化和囊变。结论:恶性骨肿瘤于术前进行动脉内化疗栓塞,能使肿瘤患者的临床症状短时间内得以明显改善,为进一步的手术治疗争取了时间及机会,同时有助于对术后病理的分析,指导术后化疗的实施。
Objective: To analyze the value of preoperative arterial intubation chemoembolization for malignant bone tumors. Materials and Methods: Among the 12 cases, 10 cases were confirmed as malignant bone tumors by pathological biopsy, 2 cases were diagnosed as bone metastasis combined with previous medical history and related imaging data; 12 cases were performed arteries within 5 to 7 days before operation. Intubation chemotherapy, of which 8 cases were treated with embolization after superselective arterial intubation. Results: The clinical symptoms of all patients were significantly improved within a short period of time. Among them, 8 patients underwent limb salvage surgery within 5 to 7 days after intubation, and the other 4 patients underwent palliative resection. Pathologically confirmed after operation. Tumors have varying degrees of necrosis, liquefaction, and cystic degeneration. Conclusion: Preoperative intraarterial chemoembolization of malignant bone tumors can significantly improve the clinical symptoms of cancer patients within a short period of time. It provides time and opportunity for further surgical treatment, and helps to analyze postoperative pathology. Guide the implementation of postoperative chemotherapy.