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目的总结累及髂血管的盆腔恶性肿瘤手术切除时受累血管的处理方法。方法回顾性分析累及髂血管盆腔恶性肿瘤的患者15例手术资料。结果 15例患者肿瘤包括受累血管均完整切除,并实施了相应髂血管重建,无手术死亡病例。术后出现并发症5例。15例患者均获随访,生存期>1年者15例,>3年者9例,>5年者6例。结论对累及髂血管的盆腔恶性肿瘤,行合并髂血管切除与重建的手术安全、有效,可提高肿瘤切除率。
Objective To summarize the methods of treatment of vessels involved in the surgical resection of pelvic malignancies involving iliac vessels. Methods Retrospective analysis of 15 cases of patients with pelvic malignant tumor involving iliac vessels. Results All the 15 patients including the involved vessels were completely resected, and the corresponding iliac vessels were reconstructed without any surgical death. Postoperative complications occurred in 5 cases. All 15 patients were followed up for 15 patients with survival> 1 year, 9 patients> 3 years and 6 patients> 5 years. Conclusion For pelvic malignant tumors involving iliac vessels, the surgical resection combined with iliac vascular resection and reconstruction is safe and effective, which can improve the tumor resection rate.