旋转数字减影血管造影对内脏恶性肿瘤的诊断价值  

Diagnostic value of rotary digital subtraction angiography in visceral malignant tumors

作　　者：敬丹涛 刘海洋[1] JING Dan-tao, LIU Hai-yang(Shangluo Central Hospital, Shangluo 726000, China)

机构地区：[1]陕西省商洛市中心医院,陕西商洛726000

出　　处：《临床医学研究与实践》2018年第19期148-149,共2页Clinical Research and Practice

摘　　要：目的研究旋转数字减影血管造影(DSA)在内脏恶性肿瘤诊断中的应用价值。方法回顾性分析2015年3月至2017年12月我院收治的60例内脏恶性肿瘤患者的临床资料,全部患者均接受常规DSA检查和旋转DSA检查。统计两种DSA检查的诊断结果。结果常规DSA检查诊断符合率为88.33%,低于旋转DSA的98.33%(P<0.05);旋转DSA病灶检出率为97.48%,高于常规DSA的86.55%,其中旋转DSA对≤1 cm病灶检出率显著高于常规DSA(P<0.05);旋转DSA的图像质量评分高于常规DSA(P<0.05)。结论旋转数字减影血管造影检查优势明显,有助于临床医师明确肿瘤形态、肿瘤与供血动脉关系以及供血动脉角度等,早期检出微小的隐匿性病灶,为治疗方案的制定提供可靠依据,值得推广。Objective To study the application value of rotary digital subtraction angiography（DSA） in the diagnosis of visceral malignant tumors. Methods The clinical data of 60 patients with visceral malignant tumors in our hospital from March 2015 to December 2017 were retrospectively analyzed. All the patients received routine DSA examination and rotational DSA examination, and the diagnostic results of the two kinds of DSA examinations were statistically analyzed.Results The diagnostic accuracy rate of routine DSA was 88.33%, which was lower than 98.33% of the rotational DSA（P 〈0.05）. The lesion detection rate of the rotational DSA was 97.48%, which was higher than 86.55% of the routine DSA, and the lesion detection rate of the rotational DSA for the lesion less than or equal to 1 cm was significantly higher than that of routine DSA（P 〈0.05）; the quality score of the image in the rotational DSA was higher than that of the routine DSA（P 〈0.05）. Conclusion The rotational DSA has obvious advantages, it can help the clinician to determine tumor shape, the relationship between tumor and blood supply artery, the angle of blood supply artery, early detection of small occult lesions, and provide a reliable basis for treatment, which is worthy of promotion.

关 键 词：旋转数字减影血管造影 内脏恶性肿瘤 检出率 

分 类 号：R730.5[医药卫生—肿瘤]