摘要
目的 综合评价动脉造影技术对女性盆腔常见肿瘤的诊断价值。方法 搜集自2013年1月至2015年7月间在我院住院 病治疗的盆腔肿瘤患者60例,根据病情需要,分别进行CTA动脉重建、DSA动脉显影、MRA血管重建,对肿瘤的供血 动脉进行显示。结果 子宫肌瘤的患者16例可见子宫动脉子宫支及卵巢动脉负责供血;膀胱癌患者10例膀胱动脉上 下支负责供血;卵巢肿瘤15例(14例原发,1例卵巢种植转移)由子宫动脉卵巢支、卵巢动脉负责供血;直结肠肠癌 患者19例回结肠动脉、乙状结肠动脉支、直肠上动脉、直肠下动脉和骶正中动脉供血。结论 动脉血管成像技术、 CTA、DSA、MRA可对女性盆腔常见肿瘤进行准确显影,对介入及微创治疗术前提供可靠的指导,避免损伤或遗漏重 要动脉。
Objective To evaluate the diagnostic value of angiography in female common pelvic tumors. Methods From January 2013 to July 2015, 60 female patients (26-75 years, mean 60.5 years) with pelvic tumor were included. The feeding artery of those tumors were displayed by reconstruction techniques which include CTA, DSA and MRA. Results The feeding arteries included the uterine branch of uterine artery and ovarian artery was seen in 16 patients with leiomyoma. While in 15 patients with ovarian tumor (14 cases were primary tumor and 1 case was metastatic tumor), the source of the blood supply was ovarian branch of uterine artery or ovarian artery. For 19 patients with colorectal carcinoma, the feeding arteries included ileocolic artery, sigmoid arteries, superior rectal artery, inferior rectal artery and median sacral artery. Conclusion Angiography is helpful in depicting the feeding arteries of female common pelvic tumor, and guide to preoperative diagnosis and assessment, so that to avoid damage or missing important arteries.
【关键词】动脉造影;CTA;DSA;MRA;肿瘤
【中图分类号】R445.3; R737.3
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2016.04.013
前言
女性盆腔肿瘤是女性较为常见的一组疾病,且种 类繁多。随着微创及介入技术的快速发展,临床对女 性盆腔肿瘤的微创及介入治疗逐渐增多。为了提高手 术的准确性及提高治疗效果,能否对病变肿瘤的供血 动脉进行准确判断就尤为重要。本次研究通过CTA、 DSA、MRA对盆腔肿瘤进行血管成像,从而为微创及介 入治疗术前提供更为有价值、准确的信息。
罕少疾病杂志
第23卷, 第 5 期
2019年11月
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