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目的 探索选择性动脉造影及化疗栓塞在腰骶椎肿瘤治疗中的应用价值。方法 搜集 9例腰骶椎肿瘤病例 ,选择性腰动脉造影后 ,7例行明胶海绵栓塞 ,其中 3例栓塞后行手术治疗。结果 选择性动脉造影可清楚显示肿瘤的大小及血供特点 ,3例栓塞后行手术治疗的病人 ,术中出血量大大减少 ,平均出血 5 6 0ml,1例未栓塞病人出血量约 30 0 0ml。 4例非手术的病人 ,腰部疼痛明显减轻。结论 选择性动脉造影及栓塞术在腰骶椎肿瘤治疗中具有较高的应用价值
Objective To explore the value of selective arteriography and chemoembolization in the treatment of lumbosacral tumors. Methods Nine cases of lumbosacral vertebral tumors were collected. Selective spontaneous lumbar arteriography was performed in 7 cases. Gelatin sponge embolization was performed in 7 cases, of which 3 cases were treated by embolization. The results of selective arteriography can clearly show the size of the tumor and blood supply characteristics, 3 cases of patients undergoing surgical treatment after embolization, the amount of bleeding was significantly reduced, the average bleeding 5600ml, 1 case of non-embolized patients with blood loss of about 30 0ml . 4 cases of non-surgical patients, waist pain was significantly reduced. Conclusions Selective arteriography and embolization have high value in the treatment of lumbosacral tumors