摘要
目的探讨骶前肿瘤经骶切除的适应证及手术的安全性。方法总结分析1990年11月至2006年5月间收治的36例骶前肿瘤患者临床资料。结果36例骶前肿瘤包括13种不同的病理类型，良性肿瘤占72．2％，恶性肿瘤27．8％。其中经影像学检查肿瘤位于第4骶骨以下、并与周围重要脏器无粘连及指诊可触及瘤体一半、并排除其他手术禁忌证的23例入选经骶入路手术组。全组手术时间43～210（平均94）min；出血量为30～2000（平均350）ml；住院时间8～16（平均10．7）d。患者无术后死亡。无肛门失禁等并发症发生；其他手术并发症包括输尿管损伤1例和骶前脓肿1例，予再行乙状结肠造口并引流伤口后痊愈：骶部切口疝1例予补片疝修补术后痊愈。结论经骶入路切除低位骶前肿瘤手术安全有效。
Objective To explore the operation indication and safety of presacral tumor. Methods Clinical data of 36 patients with presacral tumor from November 1990 to May 2006 treated in our hospital, in whom 23 patients underwent trans-sacral operation, were analyzed retrospectively. Results The operation time was from 43 to 210 min （average 94 min）. The volume of blood loss was from 30 to 2000 ml （average 350 ml）. Hospital stay was from 8 to 16 days （average 10.7 days）. There were 13 different pathology types of tumors in the 36 patients including 26.4% of malignancy. Complications of trans-sacral operation included 1 case of ureteral damage, 1 case of sacral wound hernia, 1 case of presacral abscess who was healed by sigmoid stoma and wound drainage. Conclusion Trans- sacral resection of low presacral tumor is safe and effective with less trauma, less bleeding and quick recovery.
出处
《中华胃肠外科杂志》
CAS
北大核心
2009年第5期477-479,共3页
Chinese Journal of Gastrointestinal Surgery
基金
基金项目：上海市科委自然科学基金（08ZR1404600）
关键词
骶前肿瘤
外科手术
经骶切除
Presacral neoplasms
Surgical procedures
Transsacral resection
