Hess T, Kramann B, Schmidt E, Rupp S
Orthopädische Universitäts und Poliklinik, Homburg, Germany.
Arch Orthop Trauma Surg. 1997;116(5):279-82. doi: 10.1007/BF00390053.
Preoperative selective embolisation was carried out on 17 patients with spinal metastases from various primary tumours. There was a significant reduction in the blood loss (2088 ml) and infusion volume requirement (3500 ml) and more favourable postoperative haemoglobin (Hb) development compared with the non-embolised but otherwise identical control group. The reduced intraoperative bleeding manifested itself in the form of greater clarity and a less complicated intraoperative course. Particularly with a dorsal approach, the reduced bleeding permitted more exact preparation and more extensive tumour resection. Preoperative embolisation is thus a valuable aid in spinal metastasis resection. Given suitable indications and exact positioning of the embolising material, no significant complications should arise. The method as a whole calls for close collaboration between interventional radiologists and spinal orthopaedists.
对17例来自各种原发肿瘤的脊柱转移瘤患者进行了术前选择性栓塞。与未栓塞但其他情况相同的对照组相比，出血量（2088毫升）和输液量需求（3500毫升）显著减少，术后血红蛋白（Hb）的发展更为有利。术中出血减少表现为视野更清晰，术中过程更简单。特别是采用后路手术时，出血减少使得手术准备更精确，肿瘤切除范围更广泛。因此，术前栓塞是脊柱转移瘤切除术的一项有价值的辅助手段。在有合适的适应证且栓塞材料定位准确的情况下，不应出现明显并发症。总体而言，该方法需要介入放射科医生和脊柱骨科医生密切合作。
