Lee V N, Nithyananth M, Cherian V M, Amritanand R, Venkatesh K, Sundararaj G D, Raghuram L N
Department of Orthopaedics and Accident Surgery, Christian Medical College, Vellore, India.
J Orthop Surg (Hong Kong). 2008 Apr;16(1):80-3. doi: 10.1177/230949900801600118.
To assess the role of preoperative embolisation in benign bone tumour excision.
3 men and 3 women aged 19 to 35 (mean 23) years with either a giant cell tumour or an aneurysmal bone cyst in limb girdle sites underwent preoperative embolisation a day prior to wide local excision by the same surgeon. Tumour size, blood loss, wound healing, infection, and tumour recurrence were assessed.
The mean total blood loss was 391 (range, 100-980) ml. No blood transfusion was needed. No patient had any surgery- or embolisation-associated complication. No tumour recurred within a minimum 5-year follow-up. All patients had satisfactory limb function.
Preoperative embolisation is useful in the management of vascular and aggressive bone tumours located at limb girdle sites where a tourniquet cannot be used.
评估术前栓塞在良性骨肿瘤切除中的作用。
6名年龄在19至35岁（平均23岁）的患者（3名男性和3名女性），其肢体带部位患有骨巨细胞瘤或骨动脉瘤样囊肿，在同一位外科医生进行广泛局部切除术前一天接受了术前栓塞。评估了肿瘤大小、失血量、伤口愈合、感染和肿瘤复发情况。
平均总失血量为391（范围100 - 980）毫升。无需输血。没有患者出现任何与手术或栓塞相关的并发症。在至少5年的随访期内无肿瘤复发。所有患者的肢体功能均令人满意。
术前栓塞对于位于肢体带部位、无法使用止血带的血管性和侵袭性骨肿瘤的治疗是有用的。
