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目的:探讨S3以上骶骨肿瘤切除术中出血量的控制方法。方法:对11例S3以上骶骨肿瘤先行腹主动脉暂时阻断+髂内动脉结扎后再切除肿瘤(腹主动脉暂时阻断组),复习既往81例S3以上骶骨肿瘤行髂内动脉结扎后切除肿瘤患者(对照组)的临床资料,比较两者出血量。结果:腹主动脉暂时阻断组出血量为200～4200ml,平均2000ml,大量出血发生在松开腹主动脉后;对照组平均出血量4000ml,最多超过10000ml。两者比较有显著性差异(P<0.05)。结论:对S3以上骶骨肿瘤先行腹主动脉暂时阻断+髂内动脉结扎后再切除肿瘤可明显减少术中出血,有助于肿瘤切除。
Objective: To investigate the control method of blood loss in sacrectomy over S3. Methods: 11 cases of sacral tumors were surgically resected from the abdominal aorta and ligation of the internal iliac artery before resection of the tumor (abdominal aorta temporary occlusion group). The past 81 cases of sacral tumors were resected after internal iliac artery ligation Tumor patients (control group) of the clinical data, the amount of bleeding between the two. Results: The amount of hemorrhage temporarily blocked in the abdominal aorta was 200 ~ 4200ml with an average of 2000ml. After a large amount of hemorrhage occurred in the abdominal aorta, the control group had an average blood loss of 4000ml and a maximum of more than 10000ml. There was a significant difference between the two (P <0.05). Conclusions: Temporary occlusion of abdominal aorta and resection of internal iliac artery after sacral tumor above S3 may significantly reduce intraoperative bleeding, which is helpful for tumor resection.