子宫肌瘤动脉内数字减影血管造影影像学特点及临床意义  

Interarterial digital subtraction angiographic imaging characteristics of uterine leiomyoma and its clinical significance

作　　者：曾北蓝[1] 陈春林[1] 余莉萍[1] 刘萍[1] 吕军[1] 马奔[1] 王锦江[1] 刘佩鸣[1] 

机构地区：[1]广州市第一人民医院妇产科妇产医学介入诊疗中心,510180

出　　处：《中国实用妇科与产科杂志》2002年第5期294-296,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的　观察子宫肌瘤动脉内数字减影血管造影 (IADSA)影像学特点。方法　对 15 6例子宫肌瘤患者行子宫动脉栓塞术 (UAE) ,通过术时DSA造影及术后DSA片观察子宫肌瘤DSA影像学特点。结果　 15 6例子宫肌瘤的血供均来自子宫动脉 ,共分 3种类型 :①Ⅰ型 :一侧子宫动脉供血为主型 ,占 5 3 2 % (83/ 15 6 ) ;②Ⅱ型 :双侧子宫动脉供血为主型 ,占 34 6 % (5 4/ 15 6 ) ;③Ⅲ型 :单纯一侧子宫动脉供血型 ,占 12 2 % (19/ 15 6 )。子宫肌瘤的血管网分两层 ,一层存在于子宫肌瘤的表面形成粗大的血管网 ,另一层在子宫肌瘤的内部形成致密的毛细血管网。结论　子宫肌瘤属富血管性肿瘤 ,其血供来源于子宫动脉 。Objective To access interarterial digital subtraction angiographic imaging characterisitics of uterine leiomyoma.Methods Uterine arterial embolization (UAE) was done on 156 patients with uterine leiomyoma.DSA imaging characteristics were found by observing digital subtraction angiography and DSA pictures through and after UAE.Results Blood supply came from uterine artery in all the 156 cases of uterine leiomyoma.It could be divided into three types.①TypeⅠ:blood supply mainly came from one side of uterine arteries,this type made up 53.2%(83/456) of the total cases ②TypeⅡ:blood supply mainly came from both side of uterine arteries,this type made up 34.6% (54/156) of the cases ③TypeⅢ:blood supply came from only one side of uterine arteries,this type made up 12.2% (19/156) of the cases.There were two layers of vasoganglion of uterine leiomyoma,one was thick and right on the surface of leiomyoma,the other was a compact blood capillary net inside the tumor.Conclusion Uterine leiomyoma is a kind of tumor with rich blood vessels,the blood supply comes from uterine arteries and is made by two layers of vasoganglion.

关 键 词：子宫肌瘤 动脉内数字减影血管造影 影像学特点 临床意义 子宫动脉栓塞术 

分 类 号：R737.33[医药卫生—肿瘤]