[1]刘向东,赵家宁,吴文娟,等. 骨盆肿瘤术前栓塞对骨科手术后切口愈合的影响[J].介入放射学杂志,2014,(04):340-342.
 LIU Xiang-dong,ZHAO Jia-ning,WU Wen- juan,et al. Influence of preoperative embolization on incision healing after orthopedic surgery in patients with pelvic tumors: analysis of 119 cases[J].journal interventional radiology,2014,(04):340-342.
点击复制

 

骨盆肿瘤术前栓塞对骨科手术后切口愈合的影响

()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年04期
页码:
340-342
栏目:
临床研究
出版日期:
2014-04-29

文章信息/Info

Title:
 Influence of preoperative embolization on incision healing after orthopedic surgery in patients with pelvic tumors: analysis of 119 cases
作者:
 

刘向东 赵家宁 吴文娟 张国川

Author(s):
 LIU Xiang-dong ZHAO Jia-ning WU Wen- juan ZHANG Guo-chuan.
 Department of International Radiology, the Third Hospital, Hebei Medical University, Shijiazhuang, Hebei Province 050051, China
关键词:
 

【关键词】 骨盆肿瘤 栓塞 切口愈合 末梢血管

文献标志码:
A
摘要:
 

【摘要】 目的 探讨骨盆肿瘤术前栓塞对骨科手术后切口愈合的可能影响机制。方法 收集2000年1月—2012年12月骨盆肿瘤患者119例,在骨盆肿瘤术前先行栓塞,观察骨科手术后切口愈合情况。119例中,65例栓塞材料以明胶海绵颗粒和明胶海绵条为主,为海绵组;54例栓塞材料以弹簧钢圈为主、明胶海绵条为辅,为钢圈组。分别统计两组骨科手术后发生切口延迟愈合及不愈合患者的例数,并比较组间差异有无统计学意义。结果 骨科手术后,海绵组切口延迟愈合及不愈合11例,发生率为16.9%(11/65);钢圈组切口延迟愈合及不愈合2例,发生率为3.7%(2/54),组间差异有统计学意义(P < 0.05)。结论 末梢血管床的栓塞可能是骨盆肿瘤术前栓塞导致骨科手术后切口延迟愈合及不愈合的重要原因,通过改变栓塞材料有效的保护末梢血管床可以明显降低骨科手术后切口延迟愈合及不愈合的发生率。

参考文献/References:

 

[1] Campbell CA, Chang DW. Vascularized femur flap for stabilization after combined total sacrectomy and external hemipelvectomy[J]. Plast Reconstr Surg, 2012, 129: 888e ?蛳 889e.

[2] Arkader A, Yang CH, Tolo VT. High long?蛳 term local control with sacrectomy for primary high?蛳 grade bone sarcoma in children[J]. Clin Orthop Relat Res, 2012, 470: 1491 ?蛳 1497.

[3] 刘玉金, 杨仁杰, 张秀美, 等. 骨盆骨肿瘤的介入治疗[J]. 介入放射学杂志, 2007, 16: 232 ?蛳 234.

[4] Li GD, Fu D, Chen K, et al. Surgical strategy for the management of sacral giant cell tumors: a 32?蛳 case series[J]. Spine J, 2012, 12: 484 ?蛳 491.

[5] Raskin KA, Schwab JH, Mankin HJ, et al. Giant cell tumor of bone[J]. J Am Acad Orthop Surg, 2013, 21: 118 ?蛳 126.

[6] Honda H, Yoshida T, Shibue C, et al. Use of aortic occlusion balloon catheter for sacral giant cell tumor resection[J]. Masui, 2012, 61: 610 ?蛳 613.

[7] He S, Li P, Chen CH, et al. Effective oncolytic vaccinia therapy for human sarcomas[J]. J Surg Res, 2012, 175: e53 ?蛳 e60.

[8] 陈文华, 王 祁, 何忠明, 等. 术前肿瘤动脉栓塞联合术中腹主动脉球囊阻断在骶骨肿瘤切除术中的应用[J]. 介入放射学杂志, 2012, 21: 212 ?蛳 215.

[9] Gerbers JG, Jutte PC. Hip?蛳 sparing approach using computer navigation in periacetabular chondrosarcoma[J]. Comput Aided Surg, 2013, 18: 27 ?蛳 32.

[10] Rudert M, Holzapfel BM, Pilge H, et al. Partial pelvic resection (internal hemipelvectomy) and endoprosthetic replacement in periacetabular tumors[J]. Oper Orthop Traumatol, 2012, 24: 196 ?蛳 214.

[11] 徐国斌, 刘骏方, 熊 斌, 等. 腹主动脉球囊阻断在骶骨肿瘤手术治疗中的应用[J]. 介入放射学杂志, 2008, 17: 787 ?蛳 789.

相似文献/References:

[1]张 琳,黄学全,王健,等.自主研发电化学治疗同轴电极与传统针式电极电解效应的对比研究[J].介入放射学杂志,2012,(02):148.
 ZHANG Lin,HUANG Xue-quan,WANG Jian,et al.The electrolytic effect in electrochemotherapy: a comparative study between self-prepared coaxial electrode and conventional needle electrode[J].journal interventional radiology,2012,(04):148.
[2]赵 玮,王伟中,陈莹,等.耳部动静脉畸形供血动脉的血管造影研究[J].介入放射学杂志,2012,(02):103.
 ZHAO Wei,WANG Wei-zhong,CHEN Ying,et al.Angiographic findings of the feeding arteries of auricular arteriovenous malformations[J].journal interventional radiology,2012,(04):103.
[3]邹俊民,龙世娟,张振明. 改良髂内动脉化疗联合放疗治疗Ⅲ~Ⅳa期 子宫颈癌32例[J].介入放射学杂志,2012,(02):123.
 ZOU Jun-min,LONG Shi-Juan,ZHANG Zheng-ming..Improved internal iliac artery chemotherapy combined with radiotherapy for the treatment of stage Ⅲ-Ⅳa cervical cancers[J].journal interventional radiology,2012,(04):123.
[4]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136.
 WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(04):136.
[5]赵玉峰,孙玉琴,韩晓静,等. 输卵管介入再通术后受孕时机的研究[J].介入放射学杂志,2012,(02):158.
 ZHAO Yu-feng,SUN Yu-qin,HAN Xiao-jing,et al.The optimal time for conception after fallopian tube recanalization therapy[J].journal interventional radiology,2012,(04):158.
[6]含 笑,曹建民,史东宏,等.吉西他滨、顺铂动静脉联合化疗治疗晚期非小细胞肺癌的近期疗效分析[J].介入放射学杂志,2012,(02):119.
 HAN Xiao,CAO Jian-min,SHI Dong-hong,et al.Bronchial artery infusion of Gemcitabine and Cisplatin combined with systemic chemotherapy for advanced non-small cell lung cancer: its short-term efficacy[J].journal interventional radiology,2012,(04):119.
[7]姚雪松,李 槐.不可手术切除的肝细胞癌的疗效评价标准——改良RECIST标准更可靠[J].介入放射学杂志,2012,(03):177.
 . Therapeutic evaluation criterion of inoperable hepatocellular carcinomas: modified RECIST as a more reliable standard[J].journal interventional radiology,2012,(04):177.
[8]齐 立,李慎茂,俸军林,等. 动脉溶栓与机械碎栓联合动脉溶栓的对比分析[J].介入放射学杂志,2012,(03):180.
 ,,et al. Comparison of the therapeutic efficacy between simple arterial thrombolysis and mechanical thrombectomy combined with arterial thrombolysis for acute cerebral infarction at its ultraearly stage[J].journal interventional radiology,2012,(04):180.
[9]石 潆,赵 卫,沈 进,等.脑动静脉畸形栓塞治疗术并发颅内出血的原因及处理[J].介入放射学杂志,2012,(03):185.
 ,,et al.Intracranial hemorrhage due to embolization therapy for cerebral arteriovenous malformation: its causes and management [J].journal interventional radiology,2012,(04):185.
[10]周 慷,李晓光,金征宇,等.清宫术前子宫动脉化疗栓塞术治疗瘢痕妊娠的疗效分析[J].介入放射学杂志,2012,(03):190.
 ,,et al.Therapeutic analysis of bilateral uterine artery chemoembolization performed before uterine dilation and curettage for cesarean scar pregnancy [J].journal interventional radiology,2012,(04):190.

备注/Memo

备注/Memo:
 收稿日期:2013-10-08
更新日期/Last Update: