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Comparation effect to incision of selective target artery embolization and abdominal aorta temporary balloon occlu-sion for blocking blood in sacrum tumor resection
Pages: 37-40
Year: Issue:  1
Journal: Journal of Spinal Surgery

Keyword:  SacrumSpinal neoplasmsWound healingBalloon occlusionBlood vesselsEmbolizationtherapeutic;
Abstract: Objective To evaluate the effect to incision of the selective target artery embolization and the abdominal aorta temporary balloon occlusion for blocking blood in sacrum tumor resection.Methods A total of 104 cases with sacrum tumor were divided into 2 groups randomly, 53 cases were adopted with target artery embolization preoperation( Group A) , while 51 cases used the temporary balloon occlusion of abdominal aorta to control the bleeding in operation( Group B) .The blood vol-ume, operation time, drainage were recorded.And 20 cases were performed with radiotherapy or chemotherapy before opera-tion.The heal of the incision were observed.Results The blood volume and drainage of 2 groups had no statistical signifi-cance(P>0.05).The operation time and drainage time of 2 groups had statistical significance(P<0.05).Five cases with inflammation, 8 cases with undesirable healing, 2 cases with sinus or orificium fistulae,6 cases with cutaneous necrosis and 1 case with large acreage of the skin were in Group A.One case with inflammation, 1 case with undesirable healing, 1 case was with sinus or orificium fistulae and 1 case with cutaneous necrosis were in Group B.Conpared with Group A, Group B had higher incidence rate of undesirable healing and cutaneous necrosis, the difference had statistical significance (P<0.05).The difference of recurrence rate in 0.5,1,2 years of 2 groups had no statistical significance(P<0.05).One dead case, 1 case with sacral nerve injured, 3 cases with dysfunction of the bowels were in Group A.No dead case was in Group B, 1 case was suffered with temporary nerve syptoms, 1 case was suffered with dysfunction of the urination and recovered in 1 year.Conclu-sion The temporary balloon occlusion of abdominal aorta can control the bleeding of the operation sufficially in the resection of the sacrum tumor.And it has less complication of the incision necrosis than the selective target artery embolization.
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