食管癌血供的DSA研究和介入治疗的临床价值  

The blood supply of esophageal carcinoma on DSA and clinical value of interventional therapy

作　　者：马会军[1] 宋太民[1] 张耀勇[1] 李孝宇[2] 牛松涛[1] 权涛[1] 郭宏强[1] 

机构地区：[1]河南省漯河市中心医院介入科,河南漯河462000 [2]河南省漯河市第五人民医院介入科,河南漯河462000

出　　处：《中国介入影像与治疗学》2006年第4期263-266,共4页Chinese Journal of Interventional Imaging and Therapy

基　　金：河南省医学科技创新人才工程资助项目(豫卫科[2003]15号)

摘　　要：目的探讨食管癌血液供应特点,明确食管癌区域淋巴结转移的DSA征象,指导食管癌的TNM分期和综合治疗。方法采用Seldinger技术对66例经食管钡剂X线造影及病理学证实的上、中胸段食管癌患者予以支气管动脉及其他可能肿瘤供血血管造影,依造影结果在靶血管内化学药物灌注(食管癌介入治疗)。结果食管癌有多支、多源、节段性供血的特点,DSA动脉造影可显示区域淋巴结的转移征象,能明确肿瘤血管及肿瘤染色,食管癌介入治疗效果满意。结论DSA造影能明确食管癌区域淋巴结及肺转移等情况,是预测和指导食管癌外科根治性切除的一个客观指标,介入治疗是食管癌综合治疗的一个重要方法,术前应用更有积极意义。Objective To evaluate the characteristics on blood supply of esophageal carcinoma, ascertain regional lymphnodes metastasis, guide the staging of TNM and synthetic therapy. Methods Sixty-six patients upper esophageal carcinoma with diagnosing with X-ray and pathology were undertaken bronchial artery and other vessels for blood supply of tumor angiography, and infusion chemotherapy in target vessels according to the angiographic result （interventional treatment of esophageal carcinoma）. Results Esophageal carcinoma have the characteristics of poly-branch, poly-originate and segmental blood supply, DSA can appear regional lymph-nodes metastasis and ascertain the vessels and staining of tumor, the effect of interventional treatment of esophageal carcinoma is satisfied. Conclusion DSA can ascertain the regional lymphnodes and pulmonary metastasis, it is an objective index which can predict and guide the radical resection of esophageal carcinoma. Interventional therapy is an important method in synthetic therapy. The application of interventional therapy before surgery has more active meanings.

关 键 词：食管肿瘤 数字减影血管造影 介入治疗 

分 类 号：R735.1[医药卫生—肿瘤] R815[医药卫生—临床医学]