肾血管平滑肌脂肪瘤的血管造影表现及栓塞治疗  

Arterial Angiography and Embolization Treatment of Renal Angioleiomyolipoma

作　　者：陈年根[1] 程国勤[1] 周士福 

机构地区：[1]中国人民解放军第97医院放射科,221004

出　　处：《介入放射学杂志》1997年第1期30-34,共5页Journal of Interventional Radiology

摘　　要：15例肾血管平滑肌脂肪瘤行选择性肾动脉造影,2例表现为乏血管性肿瘤,13例见肿瘤血管增多和血管动脉瘤样扩张,并见界面清楚的低密度区;对其中13例施行超选择性肾动脉栓塞术,9/13例于栓塞后2～6天行肿瘤切除,取得了手术操作容易、减少出血的效果,无水乙醇中断血运优于明胶海绵;4/13例栓塞后未行手术,半年后 CT 复查见肿瘤缩小50%以上,一般可以一次完成诊断性造影及栓塞治疗。We have performed arterial angiography of renal angiomyolipoma(RAL)on 15 pa tients,2 of them were hypervascularly,the others manifested,with aeurysmal iascular dilatation and clear cut decreased density area within the tumor.13 of them were embolized.Super selective renal arterial embolization 9/13 cases,the tumors were reseded in 2-6 days of embolization The operation was much more easier and the bleeding was markedly reduced.The absolute ethanol is better than gelfoam for stopping the blood supply.4/13 cases did not operate after embolization and the tumors reduced more than 50% in sige within 6 monthes confrimed by CT.The results suggested diagnostic angiography and the emboligzating treatment could be finished simultaneously.

关 键 词：肾肿瘤 血管平滑肌瘤 脂肪瘤 血管造影 栓塞 

分 类 号：R737.110.5[医药卫生—肿瘤]