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腹主动脉球囊阻断技术在骶骨肿瘤手术治疗中的应用

单长胜 于春鹏 孙成建 李子祥 王彦华 王松

国际医学放射学杂志Issue(2):107-109,114,4.
国际医学放射学杂志Issue(2):107-109,114,4.DOI:10.3874/j.issn.1674-1897.2015.02.L0202

腹主动脉球囊阻断技术在骶骨肿瘤手术治疗中的应用

Application of temporary balloon occlusion of the abdominal aorta during sacral tumors surgery

单长胜 1于春鹏 2孙成建 2李子祥 2王彦华 2王松2

作者信息

  • 1. 青岛大学医学院,青岛 266000
  • 2. 青岛大学附属医院介入医学科
  • 折叠

摘要

Abstract

Objective To evaluate the effect and safety of temporary balloon occlusion of abdominal aorta to control blood loss during sacral tumors surgery. Materials and Methods From January 2009 to December 2013, 31 patients with sacral tumors were recruited for this study. Totally 16 patients received the traditional surgery resection (control group) and the other 15 received temporary balloon occlusion of abdominal aorta during surgery (balloon occlusion group). Intraoperative balloon occlusion time, blood loss, blood transfusion, and surgery time were recorded. Operation effect and complications were observed. Two independent sample t test was used to compare the blood loss, intraoperative blood transfusion and surgery time between the two groups. Results Every case needed about 20~30minutes for successful placement of the balloon catheter before the surgical operation. The balloon was inflated for blood flow occlusion from 30 minutes to 45 minutes (mean 32 ±7 minutes) accumulatively, the blood loss, blood transfusion, and surgery time in balloon occlusion group were significantly less than control group(P<0.05). All the tumors of 31 cases had no lower limb venous thrombus or ischemic necrosis or failure of renal function happened. Conclusion The temporary balloon occlusion technique is safe and simple, which can effectively control the introperative hemorrhage.

关键词

球囊阻断/骶骨肿瘤/靶血管栓塞/失血/介入放射学

Key words

Balloon occlusion/Sacral tumor/Target arterial embolization/Blood loss/Interventional radiology

引用本文复制引用

单长胜,于春鹏,孙成建,李子祥,王彦华,王松..腹主动脉球囊阻断技术在骶骨肿瘤手术治疗中的应用[J].国际医学放射学杂志,2015,(2):107-109,114,4.

国际医学放射学杂志

OACSTPCD

1674-1897

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