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目的 研究和评估经导管选择性腰动脉栓塞并髂内动脉栓塞在治疗髂腰部肿瘤中的价值和作用。方法 2 3例髂腰部肿瘤行髂内动脉栓塞加腰动脉栓塞 ,其中 11例在栓塞后 2 4～ 136h手术。结果 11例肿瘤均被顺利切除 ;术中平均出血 36 0ml。 10例获平均 17个月随访 ,局部复发 1例。 12例姑息化疗及栓塞者疼痛逐渐减轻 ,软组织肿块均有不同程度缩小。结论 选择性腰动脉栓塞加髂内动脉栓塞后手术治疗髂腰部肿瘤 ,可有效减少术中出血 ,降低手术危险性 ,为彻底切除肿瘤创造条件。对姑息化疗及栓塞的病人可提高其生存质量。
Objective To study and evaluate the value and role of transcatheter arterial embolization and internal iliac artery embolization in the treatment of ilio-lumbar tumors. Methods Twenty-three patients with ilio-lumbar tumors underwent internal iliac arterial embolization plus lumbar arterial embolization, of which 11 patients underwent operation 24 to 136 hours after embolization. Results All the 11 cases were successfully resected. The mean intraoperative bleeding was 36 0ml. 10 cases were followed up for an average of 17 months, 1 case of local recurrence. In the 12 cases of palliative chemotherapy and embolism, the pain gradually reduced and the soft tissue mass reduced to some extent. Conclusion Selective lumbar artery embolization plus internal iliac artery embolization after surgery for ilio-lumbar tumors, can effectively reduce intraoperative bleeding, reduce the risk of surgery, to create the conditions for the complete removal of the tumor. Patients with palliative chemotherapy and embolism can improve their quality of life.