肝泡状棘球蚴病的DSA表现及介入治疗  

The DSA findings and interventional therapy of hepatic alveolar echinococcus

作　　者：任伟新[1] 肖湘生[1] 陈鹏[2] 马骏[2] 

机构地区：[1]第二军医大学附属长征医院,830054 [2]新疆医科大学一附院DSA

出　　处：《介入放射学杂志》2004年第6期496-498,共3页Journal of Interventional Radiology

基　　金：国家自然科学基金 ( 3 95 60 0 79)

摘　　要：目的　分析 8例肝泡状棘球蚴病的DSA表现 ,评价介入治疗的可行性。方法　 8例均进行了CT检查 ,并均得到手术证实 ,包虫 3项试验检查均呈阳性。 8例行DSA检查 ,其中 3例经导管注入碘化油栓塞治疗。随访 3个月。结果　DSA表现为肝动脉迂曲 ,增粗 ,包绕 ,呈“抱球”征象。 8例毛细血管期有环形染色。 3例栓塞后DSA表现有碘化油沉积。 3个月后CT随访 ,碘化油沉积良好。手术病理所见病灶区碘油沉积。结论　肝泡状棘球蚴病DSA检查有特征性表现 ,介入性治疗为肝泡状棘球蚴病的非手术治疗提供了一新的途径。Objective To analyse the DSA findings of hepatic alveolar echinococcus (HAE) and evaluate the feasibility of the interventional therapy.Methods Eight patients with HAE were all examined by DSA , CT and lab test . Three of them were performed the transcatheter arterial embolization by iodlized oil. All of them were confirmed by surgical operation and followed-up for three months. Results The DSA findings of HAE included hepatic arterial curling and enlargement with hypertrophied circled encircling as typical “handed ball”. Eight cases presented the ring stain during the capillary stage. After embolization, the retention of iodized oil were revealed by DSA in 3 cases. CT three months later showed fine iodized oil retention and the enlarged necrosis. Ischemic necrosis around the lesion and the cut margins were clearly seen in operation biopsy.Conclusions HAE possesses special DSA findings and interventional therapy in a new therapeutic method of choice.

关 键 词：泡状棘球蚴病 DSA表现 碘化油 介入治疗 DSA检查 随访 征象 手术病理 介入性治疗 碘油沉积 

分 类 号：R532.32[医药卫生—内科学]