介入栓塞治疗肾上腺转移癌供血动脉的初步探讨  

Preliminary discussion to interventional embolism of artery supplying metastatic carcinoma of adrenal gland

作　　者：黄伍奎[1] 由丽娜[2] 袁少华[1] 刘墨[1] 阿不拉江[1] 顾朋[1] 樊喜文[1] 杨树法[1] 

机构地区：[1]新疆医科大学附属肿瘤医院介入诊疗科,新疆乌鲁木齐830011 [2]新疆医科大学第五附属医院中医科,新疆乌鲁木齐830011

出　　处：《中国现代医学杂志》2015年第26期104-107,共4页China Journal of Modern Medicine

摘　　要：目的探讨介入栓塞治疗肾上腺转移癌的供血动脉,为临床工作提供参考。方法对18例肾上腺转移癌患者行动脉插管灌注及栓塞治疗,并统计供血动脉疗效。结果肾上腺转移癌供血动脉最主要的来源为肾上腺下动脉,以1或2支供血动脉为主;转移癌直径≥4 cm时,供血动脉一般≥2支;转移癌供血动脉≥2支时,介入栓塞治疗次数为人均2.8次,>1支时人均1.7次。结论肾上腺转移癌供血动脉来源丰富,肿瘤直径越大,供血动脉越多。瘤体供血动脉支数越多,需要进行的介入栓塞治疗次数越多。【Objective】 To investigate interventional embolism of artery supplying metastatic carcinoma of adrenal gland and to offer help to clinical work. 【Methods】 Eighteen patients with metastatic carcinoma of adrenal gland were treated with therapy of interventional catheterization perfusion and embolism of the feeding artery and the efficacy was statistically analyzed. 【Results】 The main source of the feeding artery to metastatic carcinoma of adrenal gland was inferior suprarenal artery. The number of the feeding artery was one or two.When the diameter of metastatic carcinoma was ≥ 4 cm, the number of the feeding artery was ≥ 2. The frequency of the interventional embolism therapy was 2.8 times per capita when the number of the feeding artery was ≥ 2, and 1.7 times per capita when the number of the feeding artery was〉 1. 【Conclusions】The source of feeding artery to metastatic carcinoma of adrenal gland is abundant. The bigger the tumor is,the larger the number of feeding artery is. The larger the number of feeding artery of tumor is, the more times the interventional embolism therapy is needed.

关 键 词：介入栓塞治疗 转移癌 肾上腺 供血动脉 

分 类 号：R736.6[医药卫生—肿瘤] R815[医药卫生—临床医学]