肾动脉CT血管造影在肾脏肿瘤出血介入栓塞治疗中的应用  

Utilization of Renal Artery CT Angiography in Embolotherapy for Hemorrhage of Renal Tumour

作　　者：刘超[1] 王法[2] 李颖[2] 王宏辉[2] 白彬[2] 徐伟[2] 

机构地区：[1]哈尔滨医科大学附属第二医院放射线科,黑龙江哈尔滨150086 [2]哈尔滨医科大学附属第二医院介入科,黑龙江哈尔滨150086

出　　处：《现代生物医学进展》2013年第21期4099-4102,共4页Progress in Modern Biomedicine

基　　金：卫生部医药卫生科技发展研究项目(W2009BX094)

摘　　要：目的:探讨肾动脉CT血管造影(Computed Tomography angiography,CTA)在肾脏肿瘤出血介入栓塞治疗中应用的临床效果。方法:28例肾脏患者在介入栓塞治疗前行肾动脉CTA检查。在介入手术中寻找所有的肿瘤供血动脉,并逐一进行栓塞治疗。栓塞治疗一周后复查肾动脉CTA检查。对肾动脉CTA在介入栓塞治疗中应用效果进行回顾性总结评价。结果:28例肾脏肿瘤出血患者在介入栓塞治疗前行肾动脉CTA检查,共找到32支肿瘤供血动脉,介入手术中共找到34支肿瘤供血动脉并成功栓塞治疗。介入手术前肾动脉CTA检查诊断的准确率为94.12%(32/34)。栓塞治疗后复查肾动脉CTA检查证实所有已栓塞的肿瘤供血动脉栓塞效果良好。结论:介入栓塞治疗前肾动脉CTA检查可以为肾脏肿瘤出血介入栓塞治疗提供准确的定位作用。栓塞治疗后肾动脉CTA检查有利于对栓塞疗效的准确判定。Objective： To explore clinical effect of renal artery Computed Tomography angiography（CTA） in embolotherapy for hemorrhage of renal tumour.Methods： Twenty-eight renal hemorrhage patients of renal tumour underwent renal artery CT angiography before embolotherapy.All feeding arteries of renal tumors were found and blocked one by one in embolotherapy.Renal artery CT angiography was conducted after a week of embolotherapy.The clinical effect of renal artery CT angiography in embolotherapy for renal tumor was analysed retrospectively.Results： All 32 feeding arteries of renal tumors were found in twenty-eight patients underwent renal artery CT angiography before embolotherapy.While 34 feeding arteries of renal tumors were located and embolized successfully in embolotherapy.Diagnostic accuracy of renal artery CT angiography before embolotherapy is 94.12%（32/34）.Renal artery CT angiography after embolotherapy confirmed the embolized feeding arteries of renal tumors were embolized well.Conclusion： Renal artery CT angiography before embolotherapy can provide the effect of location for finding the feeding arteries of renal tumors in embolotherapy.

关 键 词：肾动脉 肿瘤 CT血管造影 栓塞 

分 类 号：R814.42[医药卫生—影像医学与核医学] R737.11[医药卫生—放射医学]