介入治疗在骨盆肿瘤中的临床应用

目的 :研究介入治疗在骨盆肿瘤术前的临床应用价值。方法 :对 2 1例骨盆肿瘤 (其中 15例恶性 ,6例良性 )做了 30人次的介入治疗 ,所有病例均行 DSA造影 ,并用明胶海绵条做了供养动脉栓塞 ,其中 15例恶性骨肿瘤 (MBT)在灌注化疗的基础上实施动脉内栓塞。于栓塞后 1～ 7d进行手术。结果 :所有病例 DSA造影均表现为相应区域内的肿瘤染色和供应血管增粗 ;并均经手术和 (或 )病理证实 ,肿瘤均有不同程度的坏死、液化和囊变 ,术中易剥离 ,出血少 ,术野清楚 ,缩短手术时间。结论 :术前栓塞能有效减少术中出血 ,提高手术成功率 ,是一种有价值的术前辅助性治疗方法。动脉内化疗优于全身化疗 ,动脉内化疗加栓塞明显优于单纯灌注的疗效 ,介入治疗是骨盆肿瘤治疗的一种行之有效的辅助治疗方法

The Clinical Application of Interventional Therapy in Pelvic Tumors

Objective:To study the clinical application of interventional therapy in the preoperative treatment of pelvic neoplasms.Methods:21 cases of pelvic tumors (15 malignant,6 benign)were treated with intervenional therapy.Transarterial embolization(TAE)and DSA were performed in all patients.The additional transarterial infusion chemotheraphy(TAI) was done in 15 cases with malignant bone tumors(MBT)then performed operation was 1-7 days later.Results:The tumors were resected and send for pathological examination.All the tumors had neorosis,liquefaction or cystic formation to variable extent.The tumors were easy to strip during the operation,less bleeding and operation time because of the well known operation-rang.Conclusion:TAE is an effective method for the preoperative treatment of palvic neoplasms.We consider that TAE combined with TAI is more useful than TAI alone.Interventional therapy is also an effective thereputic method for pelivc neoplasms.