Dick H M, Bigliani L U, Michelsen W J, Johnston A D, Stinchfield F E
Clin Orthop Relat Res. 1979 Mar-Apr(139):133-41.
This report presents an initial clinical experience with arterial embolization as adjuvent therapy in the surgical treatment of selected benign primary bone tumors in childhood. Embolization was dramatically effective in 4 children with spinal or pelvic vascular tumors. This technique facilitated local surgical resection and/or curettage. No child had evidence of local recurrence. Three of the 4 children had spinal cord or nerve root compression resulting in various degrees of paralysis prior to surgery. All treated patients had complete recovery from their paralysis. There were no complications of embolization or surgery. The treatment of benign primary bone tumors of the spine and pelvis is immeasurably improved by the adjuvant arterial embolization procedure. The immediate surgical treatment of these difficult tumors now becomes feasible with the greatly diminished blood flow resulting from embolization.
本报告介绍了动脉栓塞作为辅助治疗手段应用于儿童特定良性原发性骨肿瘤手术治疗的初步临床经验。栓塞术对4例患有脊柱或骨盆血管性肿瘤的儿童疗效显著。该技术有助于局部手术切除和/或刮除术。没有儿童出现局部复发迹象。4例儿童中有3例在手术前因脊髓或神经根受压而导致不同程度的瘫痪。所有接受治疗的患者瘫痪均完全恢复。栓塞术或手术均无并发症。辅助性动脉栓塞术极大地改善了脊柱和骨盆良性原发性骨肿瘤的治疗效果。由于栓塞导致血流量大幅减少，现在对这些难治性肿瘤进行即时手术治疗变得可行。
