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目的探讨骶骨肿瘤手术治疗的方法。方法分析5例巨大骶骨肿瘤患者的手术治疗方式、术中出血、骶神经保护和骶骨重建等问题。结果5例患者通过适当的手术方法均得到肿瘤全切,术中出血量较少,大小便功能得到有效保护,术后骶骨-骨盆稳定性良好。结论恰当的手术方式、术前或术中行栓塞治疗、术中注意保护骶神经有利于提高骶骨肿瘤的治疗效果。全骶骨切除术后腰椎和骨盆内固定术有利于保持腰椎及骨盆的稳定性。
Objective To investigate the surgical treatment of sacral tumors. Methods The surgical treatment, bleeding in operation, sacral nerve protection and reconstruction of sacrum in 5 patients with huge sacral tumor were analyzed. Results All the 5 patients undergone complete resection of the tumor by appropriate surgical methods, less bleeding during operation, effective defecation of bowel function and good stability of the sacrum-pelvis after operation. Conclusions Appropriate surgical methods, preoperative or intraoperative embolization, sacral nerve protection during surgery to improve the treatment of sacral tumors. Total sacrectomy lumbar and pelvis internal fixation is conducive to maintaining lumbar and pelvic stability.