骶骨肿瘤27例供血动脉的血管造影研究  

Angiographic study of the feeding arteries of sacral tumors: analysis of 27 cases

作　　者：赵玮[1] 王伟中[1] 陈莹[1] 段克修[1] 易敏[1] 蒋玲林[1] 

机构地区：[1]广州广州军区总医院介入治疗中心,510010

出　　处：《介入放射学杂志》2014年第8期716-718,共3页Journal of Interventional Radiology

摘　　要：目的研究骶骨肿瘤DSA下供血动脉情况。方法 2006年1月—2012年12月间27例骶骨肿瘤患者被纳入该观察,所有患者均行腹主动脉、双侧髂内动脉、骶正中动脉、腰动脉造影,记录供血动脉的起源及分支。结果 27例骶骨肿瘤供血动脉:骶正中动脉20例(20支),骶外侧动脉22例(36支),髂腰动脉18例(27支),腰动脉10例(15支)支,臀下动脉3例(3支)、臀上动脉2例(2支)。结论本组所见骶骨肿瘤血供主要来自骶正中动脉、骶外侧动脉、髂腰动脉、腰动脉,臀下、臀上动脉供血少见,少见供血动脉需引起注意。Objective To study the feeding arteries of sacral tumors with digital substraction angiography （DSA）. Methods A total of 27 patients with sacral tumors, who were encountered at authors’ hospital during the period from January 2006 to December 2012 , were enrolled in this study. DSA of abdominal aorta, bilateral internal iliac arteries, median sacral artery and lumbar arteries was performed in all patients. The origins, branches of the feeding arteries were determined, and the results were analyzed. Results Of the 27 cases with sacral tumors, DSA demonstrated median sacral artery in 20 （20 arteries in total）, lateral sacral artery in 22 （36 arteries in total）, ilio-lumbar artery in 18 （27 arteries in total）, lumbar artery in 10 （15 arteries in total）, inferior gluteal artery in 3 （3 arteries in total） and superior gluteal artery in 2 （2 arteries in total）. Conclusion In our series, the blood supply of the sacral tumors is mainly from the median sacral artery, lateral sacral artery, ilio-lumbar artery and lumbar artery. Occasionally, superior and inferior gluteal arteries also participate in the blood supply of the sacral tumors. For the evaluation of sacral tumors, attention should be paid to the presence of rare feeding arteries.

关 键 词：骶骨肿瘤 骶正中动脉 骶外侧动脉 髂腰动脉 腰动脉 供血动脉 

分 类 号：R738.1[医药卫生—肿瘤]