介入放射学在结直肠癌诊治中的应用  

Application of Interventional Radiology in the Diagnosis and Treatment of Colorectal Carcinoma

作　　者：高健[1] 杜湘珂[2] 顾晋[2] 刘勤生 

机构地区：[1]北京医科大学人民医院放射科,100044 [2]北京医科大学人民医院,100044 [3]安徽六安地区人民医院放射科

出　　处：《中国医学影像技术》1999年第12期915-917,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的　探讨介入放射学在结直肠癌诊治中的价值。方法　４９ 例结直肠癌患者分别用ＤＳＡ 法进行了选择性动脉造影和区域化疗，对１ 例晚期直肠癌患者和１ 例直肠癌术后肝转移患者，留置了化疗泵（ＰＣＳ） 。结果　所有结直肠癌病灶在动脉造影时均明确显示，与手术符合率１００％ 。７ 例有不同程度肠梗阻的直肠癌患者，经动脉区域化疗后，６ 例症状得到改善。所有病例均无与插管有关的并发症。结论　介入放射学为结直肠癌的诊治提供了一条新的途径。Objective To determine the value of interventional radiology in the diagnosis and treatment of colorectal carcinoma.Methods We performed selective arterial angiography and intraarterial chemotherapy in 49 patients who suffered colorectal carcinoma.Port—catheter system (PCS) were implanted in two patients who suffered nonresectable rectal carcinoma and rectal carcinoma with liver metastasis respectively.Results All the colorectal carcinoma focuses were clearly showed in the selective arterial angiography.The results were proved to be complete right by surgical operation.After intraarterial chemotherapy,six out of seven patients who suffered ileus for the reason of rectal carcinoma improved their symptoms.No complications of catheteration were found.Conclusion Interventional radiology provides a new way for diagnosis and treatment of colorectal carcinoma. [

关 键 词：结直肠癌 诊断 治疗 DSA 动脉造影 区域化疗 

分 类 号：R735.34[医药卫生—肿瘤]