程序性动脉造影在肾上腺转移癌介入栓塞治疗中的意义  

Significance of Procedural Arteriography in Interventional Embolization of Adrenal Metastasis Carcinoma

作　　者：黄伍奎[1] 刘墨[1] 王海林[1] 由丽娜[2] 杨树法[1] 樊喜文[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：《中国医学影像学杂志》2015年第11期812-814,共3页Chinese Journal of Medical Imaging

摘　　要：目的介入栓塞治疗肾上腺转移癌时寻找供血动脉难度大,本文拟探讨程序性动脉造影在肾上腺转移癌介入栓塞治疗中的意义。资料与方法对18例肾上腺转移癌患者行程序性动脉造影及介入栓塞治疗,回顾性分析其供血动脉来源及支数情况。结果 18例患者程序性动脉造影的总成功率为95.5%。通过程序性动脉造影发现的异常供血动脉所占比例为29.0%。供血动脉以2支为主,主要来源于肾上腺下动脉及肾上腺上动脉。结论肾上腺转移癌供血动脉来源丰富,变异性大,数字减影血管造影术中尽量采用程序性动脉造影,避免供血动脉疏漏。Purpose To investigate the significance of procedural arteriography in nterventional embolization of adrenal metastasis, due to the fact that it is usually difficult to seek feeding arteries in the treatment of adrenal metastasis using interventiona embolization. Materials and Methods Eighteen patients with adrenal metastasis were treated with procedural arteriography and interventional embolization therapy, the source and number of feeding arteries was retrospectively analyzed. Results The total success rate of procedural arteriography was 95.5%. The abnormal feeding arteries which were discovered by procedural arteriography accounted for 29.0%. The nunlber of feeding arteries was two, which were mainly derived from inferior suprarenal artery and superior suprarenal arteries. Conclusion The source of feeding arteries of adrenal metastasis is abundant and the variability is obvious, thus procedural arteriography should be used to the greatest extent during operation of digital subtraction angiography to avoid onrission of feeding arteries.

关 键 词：肾上腺肿瘤 肿瘤转移 血管造影术 数字减影 放射摄影术 介入性 栓塞 治疗性 

分 类 号：R453[医药卫生—治疗学] R737.11[医药卫生—临床医学]