骶尾部脊索瘤切除术前靶血管栓塞与术中球囊阻断腹主动脉的疗效比较

摘要

Objective To compare the clinical efficacy of targeting arterial embolization before sacral chordoma excision and temporary balloon oc-clusion of abdominal aorta during sacral tumors surgery. Methods A total of 34 patients with sacral chordoma were recruited for this study and fol-lowed up. Totally 18 patients received bi-iliac artery,sacrococcygeal artery and other target arteryl embolization before excision(target arterial emboli-zation group),and the other 16 received temporary balloon occlusion of abdominal aorta during surgery(balloon occlusion group). The blood loss during operation,drained blood after operation,operation time and wound healing were recorded. Results The blood loss during operation,drained blood after operation and operation time in targeting arterial embolization group were less than balloon occlusion group. There was no statistical differ-ence in wound healing between the two groups. Conclusion Targeting arterial embolization can be more effective than temporary balloon occlusion of abdominal aorta in the control of blood loss.%目的：比较骶尾部脊索瘤切除术前靶血管栓塞与球囊阻断腹主动脉的疗效。方法选取1998年1月至2013年12月我科室收治的骶尾部脊索瘤患者34例，其中18例患者于外科术前行双侧髂内动脉、骶正中动脉及其他肿瘤供血动脉栓塞（靶血管栓塞组），16例于术中行球囊阻断腹主动脉（球囊阻断组）。切除术后评价术中出血、术后引流量、手术时间以及手术切口愈合情况。结果靶血管栓塞组术中出血及术后引流量明显少于球囊阻断组（P<0.05），手术时间较球囊阻断组明显缩短（P<0.05），2组患者切口愈合未见统计学差异（P>0.05）。结论骶尾部脊索瘤术前行靶血管栓塞较术中行球囊阻断腹主动脉可以更有效地减少术中出血。