经数字减影血管造影术介入后骨盆肿瘤切除与重建

目的：探讨分析经数字减影血管造影术（DSA）介入后骨盆肿瘤切除与功能重建的临床方法及疗效。方法：对28例骨盆肿瘤患进行术后临床回顾分析。其中骨巨细胞瘤10例，软骨肉瘤7例，骨转移性腺癌4例，骨肉瘤3例，骨恶性淋巴瘤1例，骨恶性纤维组织细胞瘤1例，动脉瘤要囊肿2例，均行肿瘤切除及骨盆环重建。结果：本组28例患手术均顺利，肿瘤获彻底切除，平均随访时间3年（1－5年），无术中休克或死亡，无盆腔脏器损伤，伤口均一期愈合，无1例感染，全部病例均可负重行走。结论：经DSA介入后骨盆肿瘤切除肿瘤切除与重建功能的保肢手术是可行的，但应严格掌握其适应证。

Resection of pelvic tumor and reconstruction of pelvis after digital subtraction angiography

Objective:To study the resection of bone tumor and reconstruction of pelvis after digital subtraction angiography(DSA). Methods:A retrospective analysis of 28 consecutive cases of resection and reconstruction in bone tumor of pelvis was conducted. There were 3 osteosarcomas, 10 aggressive giant cell tumor of bone, 7 chondrosarcoma, 4 matestatic bone tumor and 4 other bone tumors. All of the cases underwent resection of bone tumor and reconstruction of pelvis. Results:Follow up period ranged from 1 year to 5 years (averagely 3 years) in 28 cases. No death, shock during operation or severe complications appeared. All of the cases walked without branch. Conclusion:Resection of bone tumor and reconstruction of pelvis after DSA are feasible, satisfactory results are obtained with controled indication.