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中华介入放射学电子杂志

中华介入放射学电子杂志 ›› 2014, Vol. 02 ›› Issue (03) : 8 -10. doi: 10.3877/cma.j.issn.2095-5782.2014.03.003

所属专题： 文献；

肿瘤介入

脊柱肿瘤术前栓塞疗效的影响因素分析
陈尘1, 金龙1,†(), 高健1, 陈雷1   
  1. 1. 100044　北京大学人民医院影像科
  • 收稿日期:2013-06-02 出版日期:2014-08-01
  • 通信作者: 金龙

Preoperative embolization of spinal tumors: An analysis of factors influencing intraoperative blood loss

Chen Chen1, Long Jin1,†(), Jian Gao1, Lei Chen1   

  1. 1. Department of Radiology, Peking University People’s Hospital, Beijing 100044, China
  • Received:2013-06-02 Published:2014-08-01
  • Corresponding author: Long Jin
  • About author:
    Corresponding author: Jin Long, Email:
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陈尘, 金龙, 高健, 陈雷. 脊柱肿瘤术前栓塞疗效的影响因素分析[J]. 中华介入放射学电子杂志, 2014, 02(03): 8-10.

Chen Chen, Long Jin, Jian Gao, Lei Chen. Preoperative embolization of spinal tumors: An analysis of factors influencing intraoperative blood loss[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2014, 02(03): 8-10.

目的

评价外科术前介入栓塞技术的安全性和对脊柱肿瘤切除术中出血量的影响。

方法

回顾北京大学人民医院2003年3月至2011年5月90例行术前栓塞的脊柱肿瘤患者的临床资料，分析患者性别、病理类型、栓塞颗粒直径、栓塞与手术的时间间隔、是否为初次手术及肿瘤侵犯范围等因素对栓塞疗效的影响。

结果

对于所有肿瘤和颈胸腰椎肿瘤，接受二次或多次手术的患者术中出血量大于首次接受栓塞及手术治疗的患者（P=0.023、0.044）；骨巨细胞瘤（GCT）患者术中出血量大于其他原发肿瘤（P=0.013、0.006）。患者性别、栓塞颗粒直径、栓塞与手术的时间间隔及肿瘤侵犯范围等因素对栓塞后肿瘤切除术中出血量无影响。

结论

术前栓塞对减少脊柱富血供肿瘤的术中出血量、提高肿瘤的可切除性是安全、有效的。

关键词: 术前栓塞, 脊柱肿瘤, 影响因素
Objective

To evaluate the safety of different spinal tumor preoperative embolization and the factors that may influence intraoperative blood loss.

Methods

Between March 2003 and May 2011A total of 90 spinal tumor patients receiving preoperative embolization were retrospectively analyzed. Multiple factors, including sex, pathological type, embolization agent, interval between embolization and surgery, surgical history (first or not) and tumor invasion range (for cervical, thoracic and lumbar vertebrae) were analyzed for the effect on intraoperative blood loss.

Results

For all subjects and those with cervical, thoracic and lumbar vertebral tumors, the estimated blood loss (EBL) was significantly lower if the surgery was first surgery (P=0.023 and 0.044, respectively), and the EBL of giant cell tumor (GCT) was significantly higher than other primary tumors (P=0.013 and 0.006, respectively). The EBL was not statistically different with sex, embolization agent, interval between embolization and surgery and tumor invasion range.

Conclusion

It is safe and effective for preoperative embolization to reduce the intraoperative blood loss and improve the surgical removal rate.

Key words: Preoperative embolization, Spinal tumor, Influence factor
1
Bilsky MH,Lis E,Raizer J, et al. The diagnosis and treatment of metastatic spinal tumor[J]. Oncologist, 1999,4(6):459-469.
2
Benati A,Dalle Ore G,Da Pian R, et al. Transfemoral selective embolisation in the treatment of some cranial and vertebro-spinal vascular malformations and tumours: preliminary results.[J]J Neurosurg Sci, 1974,18(4):233-238.
3
Guzman R,Dubach-Schwizer S,Heini P, et al. Preoperative transarterial embolization of vertebralmetastases[J]. Eur Spine J, 2005,14(3):263-268.
4
Manke C,Bretschneider T,Lenhart M, et al. Spinal metastases from renal cell carcinoma: effect of preoperative particle embolization on intraoperative blood loss[J]. AJNR Am J Neuroradiol, 2001,22(5):997-1003.
5
Gellad FE,Sadato N,Numaguchi Y, et al. Vascular metastatic lesions of the spine: preoperative embolization[J]. Radiology, 1990,176(3):683-686.
6
Berkefeld J,Scale D,Kirchner J, et al. Hypervascular spinal tumors: influence of the embolization technique on perioperative hemorrhage[J]. Am J Neuroradiol, 1999,20(5):757-763.
7
Wilson MA,Cooke DL,Ghodke B,et al. Retrospective analysis of preoperative embolization of spinal tumors[J]. Am J Neuroradiol, 2010,31(4):656-660.
8
Mirza SK,Deyo RA,Heagerty PJ, et al. Development of an index to characterize the "invasiveness" of spine surgery: validation by comparison to blood loss and operative time[J]. Spine, 2008,33(24):2651-2661, discussion 2662.
9
Denis F. Spinal instability as defined by the three-column spine concept in acute spinal trauma[J]. Clin Orthop Relat Res, 1984,(189):65-76.
10
Wirbel RJ,Roth R,Schulte M, et al. Preoperative embolization in spinal and pelvic metastases[J]. J Orthop Sci, 2005,10(3):253-257.
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