Preoperative embolization of pelvic tumors.doc

 PAGE \* MERGEFORMAT 9 Preoperative embolization of pelvic tumors Abstract Objective: To evaluate the preoperative embolization of pelvic tumors of the orthopedic surgery value. Methods: 9 cases for angiography before embolization, a clear tumor-feeding artery, the artery embolization using gelatin sponge crushed, and angiography confirmed. Results: 9 cases of tumor feeding arteries after embolization show complete embolization, tumor staining were significantly higher than the reduction or disappearance of pain relief in 6 cases, 9 cases of blood loss in the 730 ~ 3000 ml, an average of 1640 ml with the traditional without preoperative embolization blood loss less than 2 times. Conclusion: Preoperative embolization of pelvic tumors can effectively relieve pain and reduce bleeding and improve the success rate of surgery is an important complementary orthopedic pre-operative treatment. Keywords: embolism; pelvic tumor; surgery Bone tumors, especially pelvic tumor due to rich blood supply and its surgical treatment of excessive blood loss, surgical vision is unclear, total removal is often difficult, or excessive bleeding leading to surgery in the shock and even death, and to become orthopedic surgeons facing difficult问题. In recent years, pelvic tumors preoperative selective arterial embolization for the orthopedic surgeons to solve this problem. Since 1998, hospital use of preoperative embolization for pelvic tumors in 9 cases, the initial results are less satisfactory. Are reported below. A clinical material 1.1 General information: The group of 9 cases, 7 males and 2 females, aged 14 to 59 years. According to the pelvis preoperative plain films, CT or MRI, and biopsy pathology. One chordoma, chondrosarcoma, nerve sheath tumors in 2 cases of mother-cell sarcoma of bone, nerve fibrosarcoma, giant cell tumor in 1 case. Occurrence areas: the sacrum in 5 cases, 2 cases of sacrum and iliac bone, iliac bone in 2 cases. l