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目的 :探讨骨盆肿瘤的术前栓塞对骨科手术的价值。方法 :本组 9例栓塞前先作造影 ,明确肿瘤供血动脉 ,将供血动脉用明胶海绵碎粒栓塞 ,并造影复查证实。结果 :本组 9例栓塞后显示肿瘤供血动脉完全栓塞 ,肿瘤染色较前显著减少或消失 ,6例疼痛缓解 :9例术中失血在 730～ 30 0 0 m l,平均 16 40 ml与传统未经术前栓塞失血少 2倍以上。结论 :骨盆肿瘤的术前栓塞能够有效地减轻疼痛和减少术中出血 ,提高手术治疗成功率 ,是骨科手术前重要的辅助性治疗。
Objective: To investigate the value of preoperative embolization for pelvic tumors in orthopedic surgery. Methods: The group of 9 patients before embolization angiography, clear tumor feeding artery, the artery of blood supply with gelatin sponge particles embolization, and confirmed by angiography review. Results: In this group of 9 patients, the embolization of tumor showed complete embolization of the artery of the tumor. The staining of the tumor was significantly reduced or disappeared compared with that of the 6 patients. The pain relief was achieved in 6 patients: the blood loss was in the range of 730-30 000 ml in 9 cases, with an average of 16-40 ml Preoperative embolization less than 2 times less blood loss. Conclusion: Preoperative embolization of pelvic tumors can effectively reduce pain and reduce intraoperative bleeding and improve the success rate of surgical treatment, orthopedic surgery is an important ancillary treatment.