肾癌肾动脉树的X线解剖学研究及临床意义  

X-ray Anatomy Study and Clinical Significance of Renal Artery Tree for Renal Carcinoma Department of Radiology

作　　者：庾君毅 沈国鑫 史跃[2] 

机构地区：[1]湖州市解放军第九八医院放射科,浙江313000 [2]徐州市解放军第九七医院医学影像科,江苏221004

出　　处：《当代医学》2010年第5期57-59,共3页Contemporary Medicine

摘　　要：目的研究不同时期肾癌组织肾动脉树的X线解剖学形态。方法采用seldinger技术,对36例肾癌患者实施数字减影造影(digital subtraction angiography,DSA)检查。根据不同时期瘤体内供血动脉的形态进行X线解剖学分型,对肾癌患者进行姑息性介入化疗栓塞及提供术前必要的信息。结果36例肾癌DSA造影,动脉早期均表现为枯树枝型;动脉期均表现为树枝树叶型;毛细血管期或静脉期均表现为鸟巢型。36例肾癌患者,CR+PR+NC=27例,有效率为75%(27/36),CR+PR=17例,近期显效率为47.2%(17/36)。结论通过影像学对活体肾癌肾动脉树的X线解剖学研究,根据不同时期DSA图像显示肾癌肾动脉树的形态,对肾癌介入栓塞程度的判断和手术方式的选择具有重要的临床意义。Objective To investigate the radiographic anatomy of renal artery tree in renal carcinoma in different periods.Methods DSA（digital subtraction angiography） examination was conducted in 36 cases with renal carcinoma by seldinger technique.Radiographic anatomy type was judged from the morphous of feeding artery in different periods of carinoma in order to offer necessary information before transcatheter arterial chemoembolization.Results In the 36 cases,pre-arterial phase were all fade branch anatomy type.Arterial phase were all tree top-tree leaf anatomy type and venous phase were all birdnest anatomy type.Among them,CR＋PR＋NC=27,the effective rate was 75%（27/36）,CR＋PR＋NC=17,the short term response rate was 47.2%（17/36）.Conclusion Study on radiographic anatomy of renal artery tree in renal carcinoma has an important clinical significance on selecting interventional therapy method.

关 键 词：肾癌 肾动脉树 X线解剖学 介入治疗 

分 类 号：R737.11[医药卫生—肿瘤]