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目的 :研究和评估经导管髂内动脉栓塞后手术治疗骨盆肿瘤的价值和方法。方法 :对 30例骨盆肿瘤病人进行双侧髂内动脉栓塞 ,栓塞后 1周内行手术治疗。结果 :30例肿瘤均获彻底切除 ,术中出血大大减少 ,平均出血为2 2 0 0ml,平均随访 2 8个月 ,未见肿瘤局部复发。结论 :术前经DSA栓塞双侧髂内动脉 ,可有效减少术中出血 ,利于肿瘤切除 ,是骨盆肿瘤切除的十分有效的辅助治疗方法。
Objective: To study and evaluate the value and method of surgical treatment of pelvic tumors after transcatheter arterial embolization. Methods: Thirty patients with pelvic tumor were subjected to bilateral internal iliac artery embolization. Surgical treatment was performed within 1 week after embolization. Results: All the tumors were completely resected in 30 cases. The bleeding during operation was greatly reduced with an average of 2200 ml. The average follow-up was 28 months. No local recurrence was found. Conclusion: Preoperative DSA embolization of the bilateral internal iliac artery, which can effectively reduce intraoperative bleeding, is conducive to tumor resection, it is a very effective adjuvant treatment of pelvic tumor resection.