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| 椎体肿瘤椎体重建术前选择性动脉栓塞临床应用研究 | |
| 引用本文： | 黄益,李耀国,陈汉威,武兴杰,郭洲,郝群禹,黄希勤.椎体肿瘤椎体重建术前选择性动脉栓塞临床应用研究[J].临床放射学杂志,2008,27(12):1745-1748. |
| 作者姓名： | 黄益 李耀国 陈汉威 武兴杰 郭洲 郝群禹 黄希勤 |
| 作者单位： | 1. 广州番禺区人民医院放射科,511400 2. 广东药学院附属第一医院,510080 3. 广东省东莞市清溪镇医院外科,523660 |
| 摘 要： | 目的 探讨选择性动脉栓塞后肿瘤椎体切除重建的疗效及价值. 资料与方法 选择有脊髓压迫症状的胸腰椎肿瘤患者24例,分成对照组(n=11)和研究组(n=13).对照组直接行肿瘤椎体切除人工椎体置换椎体重建术;研究组先行肿瘤供血动脉栓塞化疗后,再行肿瘤椎体重建术. 结果 对照组4例手术失败,7例手术成功,成功率57%,术中平均出血量为3385 ml、平均手术时间5 h;研究组13例肿瘤椎体全部手术切除成功,成功率达100%,术中平均出血量为842 ml,平均手术时间3 h.研究组与对照组比较术中平均出血量、手术时间差异有统计学意义(P＜0.01).所有患者随访6～36个月神经功能恢复满意,椎体重建稳定性良好. 结论 术前胸腰椎动脉栓塞便于肿瘤椎体切除及重建,可提高患者的生存质量. |
| 关 键 词： | 选择性动脉栓塞 椎体肿瘤 人工椎体置换 椎体重建 |
The Clinical Study of Arteries Embolization Treatment Before Artificial Vertebral Body Replacement in Spinal Tumors |
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| HUANG Yi,LI Yaoguo,CHEN Hanwei,et al..The Clinical Study of Arteries Embolization Treatment Before Artificial Vertebral Body Replacement in Spinal Tumors[J].Journal of Clinical Radiology,2008,27(12):1745-1748. | |
| Authors: | HUANG Yi LI Yaoguo CHEN Hanwei |
| Institution: | HUANG Yi,LI Yaoguo,CHEN Hanwei,et al.Department of Radiology,Panyu People\'s Hospital,Guangzhou,Guangdong Province 511400,P.R.China |
| Abstract: | Objective To investigate the therapeutic effect of selective arteries embolization before Artificial vertebral body replacement in thoracic and lumbar spinal tumors. Materials and Methods 24 cases with thoracic and lumbar neoplasms were enrolled in our study. The patients were divided into control group(n=11, performed Artificial vertebral body replacement) and study group(n=13, performed selective arteries embolization before Artificial vertebral body replacement). Results In control group, 4 operations we... |
| Keywords: | Selective arteries embolism Spinal neoplasms Vertebral replacement Spinal reestablish |
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