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目的 探讨骨盆肿瘤碘油栓塞治疗的可行性。材料与方法 对 12例骨盆肿瘤患者进行局部动脉灌注化疗及多支肿瘤供血动脉的碘油栓塞治疗 ,并以明胶海绵或弹簧圈增强栓塞疗效。其中纤维肉瘤 1例 ,软骨肉瘤、骨肉瘤各 2例 ,转移瘤 7例。结果 术后复查见肿瘤供养血管完全闭塞 ,肿瘤染色明显减少 ,瘤区明显碘油沉积 ,临床症状减轻 ,栓塞后手术出血量少 ,病检肿瘤组织部分坏死 ,无严重并发症。结论 碘油栓塞治疗骨盆肿瘤安全、可行 ,临床效果显著 ,尤其适宜晚期骨盆肿瘤的姑息性治疗
Objective To investigate the feasibility of pelvic tumor lipiodol embolization. Materials and Methods 12 cases of pelvic tumor patients underwent local arterial infusion chemotherapy and multiple tumor feeding artery lipiodol embolization, and gelatin sponge or coil to enhance the efficacy of embolization. One case of fibrosarcoma, chondrosarcoma, osteosarcoma in 2 cases, 7 cases of metastases. Results Postoperatively, the tumor was completely occluded. The tumor staining was obviously reduced. The tumor area was obviously lipiodol deposition. The clinical symptoms were relieved. The blood loss after operation was less. The tumor tissues were partially necrotic and had no serious complication. Conclusions Lipiodol embolization is safe and feasible for pelvic tumors and has significant clinical effect and is especially suitable for palliative treatment of advanced pelvic tumors