Reuter M, Heller M, Heise U, Beese M
Abt. Röntgendiagnostik, Universitätskrankenhaus Eppendorf, Hamburg.
Rofo. 1992 Feb;156(2):182-8. doi: 10.1055/s-2008-1032861.
The value of transcatheter embolisation of tumours of the musculoskeletal system is discussed on the basis of 26 cases. All procedures were performed following diagnostic angiography (DSA). By preoperative vascular occlusion it was possible to prevent major blood loss during surgery, provided the operation was carried out within three days of embolisation. Reduction in size of some large inoperable metastases before radio-iodine therapy is another indication for embolisation. As a palliative measure, vascular occlusion can be used for reducing otherwise untreatable skeletal pain and for the management of arteriovenous malformations. Bleeding from a tumour can be controlled by vascular occlusion. Our results indicate that transcatheter embolisation is an effective and reliable technique.
基于26例病例探讨了经导管栓塞术在肌肉骨骼系统肿瘤中的价值。所有操作均在诊断性血管造影(DSA)后进行。通过术前血管闭塞,只要手术在栓塞后三天内进行,就有可能防止手术中大量失血。在放射性碘治疗前缩小一些无法手术切除的大转移灶的大小是栓塞的另一个指征。作为一种姑息性措施,血管闭塞可用于减轻其他无法治疗的骨骼疼痛以及治疗动静脉畸形。肿瘤出血可通过血管闭塞来控制。我们的结果表明,经导管栓塞术是一种有效且可靠的技术。