腹主动脉球囊阻断技术在骶骨肿瘤切除中的临床评价.DOCVIP

临床医学论文-腹主动脉球囊阻断技术在骶骨肿瘤切除中的临床评价 【摘要】? 探讨应用腹主动脉球囊阻断技术在行骶骨肿瘤切除术中的临床应用价值。［方法］对36例骶骨肿瘤患者切除过程中应用腹主动脉球囊阻断技术（腹主动脉球囊阻断组），复习既往32例骶骨肿瘤应用传统的术前血管栓塞技术切除肿瘤患者（对照组）的临床资料，比较2组手术时间、出血量、并发症发生率、平均住院时间、术后恢复时间及复发率。［结果］腹主动脉球囊阻断组手术时间为（149.19±73.81）min，术中出血量为（826.67±509.11）ml，有2例骶神经损伤，平均住院时间（26.05±7.08）d，术后恢复时间（34.61±8，22）d，半年复发率5.5％，1年复发率11％，2年复发率16％；对照组手术时间为（221.33±45.19）min，出血量为（1 652±706.99）ml，有3例骶神经损伤，4例出现局部皮肤缺血性疼痛，1例出现性功能障碍。平均住院时间（37.93±7.63）d，术后恢复时间（46.03±9.67）d，半年复发率18％，1年复发率31％，2年复发率40.6％。两者比较有显著性差异（P＜0.05）。［结论］在骶骨肿瘤过程中，采用腹主动脉球囊阻断技术，可以缩短手术时间，减少出血量及并发症，缩短住院天数，术后恢复快，降低了复发率。是一项具有实用价值的临床技术。 【关键词】? 骶骨肿瘤 手术 腹主动脉 气囊扩张术 ?????? Abstract：［Objective］To evaluate temporary balloon occlusion of the abdominal aorta in sacral tumors surgical operation as a useful adjuvant technique.［Method］Temporary balloon occlusion of abdominal aorta was used in 36 patients during the sacral tumors surgical operations（study group）.Another 32 patients with sacral tumors who receive the preoperative arterial embolization theraphy were used as control group.The quantity of blood loss during the surgery,the whole surgery time,the complication,mean days in hospital,recovery days postoperation and recurrence rate were recorded.The results in two groups were compared with each other.［Result］The time of operations of study group was（149.19±73.81）minutes.The loss of blood was（826.67±509.11）ml.Two cases had complication after operation.Mean days in hospital were（26.05±7.08）d.Recovery days postoperation were（34.61± 8.22）d.Recurrence rate of six months was 5.5 %.Recurrence rate of one year was 11%.Recurrence rate of two years was 16%.The time of operations of control group was（221.33±45.19）min.The loss of blood was（1 652±706.99）ml.Eight cases had complications after operation.Mean days in hospital were（37.93±7.63）d.Recovery days postoperation were（46.03±9.67）d.Recurrence rate of six months was 18%.Recurrence rate of one year was 31%.Recurrence rate of two years was 40.6%.［Conclusion］The effect of temporary balloon occlus