MSCTA肠系膜下动脉成像的临床应用.pdfVIP

中国介入影像与治疗学2008年第5卷第6期 ChinJIntervImagingI!!， ! ! ·425 · ClinicalapplicationofMSCTA forinferiormesentericartery TAN Wan—chang ，ZHANGYing—he，JIN Cang—zheng，LJNXiao—hui (DepartmentofRadiology，NanhaiHospitalAffiliatedNanfangMedicalUniversity，Foshan528200，China) ABSTRACT Objective Tostudytheclinicalapplicationvalueofmulti—slicespiralCTangiography(MSCTA)indepicting theinferiormesentericartery(IMA)．Methods Seventy-fivepatientsincluding52withrectum carcinomaorlefthemicolon carcinomaand23with IM A stenosisorocclusionunderwentMSCTA 。inwhich reconstructionofvesselswereperformed withVR AV techniqueinordertOobservethebloodsupplyoftumorsandthecollateralvesselsofIMA．Results In35pa— tientswithrectum carcinoma，bloodsupplyfrom superiorrectalarterieswasobservedinall，from inferiorrectalarteriesin 29，mediansacralarteriesin6，whilefrom sigmoidarteriesin4patients．In7patientswithsigmoidcarcinoma，bloodsup— plyvesselsallcamefrom sigmoidarteries．In3patientswithcarcinomaofthejunctionalzonebetweenrectalandsigmoid， oneblood—supplyarterycamefrom sigmoidartery，2from sigmoidarteriesandsuperiorrectalarteries．In 2casesofde— scendingcoloncarcinoma，thetumorsweresuppliedbyleftcolonarteries，whereas5carcinomasofthecolonsplenicflexure suppliedbyleftcolonarteriesascendingbranchesandmiddlecolonarteriesleftbranches．CollateralvesselsoftheRiolanar— terialarcadesformedinallthe23patientswith IM A stenosisorocclusion．Conclusion MSCTA candepicttheblood—sup— plyvesselsfrom IMA tOthetumors，and evaluateaccuratelythecollateralvesselswhen stenosisorocclusionofIMA OC— curred． KEY WORDS Inferiormesentericartery；Tomography，X—raycomputed MSCTA肠系膜下动脉成像的临床应用 谭婉嫦 ，张应和 ，靳仓正，林小惠 (广东省佛山市南方医科大学附属南海医院放射科 ，广东 佛山 528200) [摘 要] 目的 探讨多层螺旋CT血管造影(MSCTA)在肠系膜下动脉 (IMA)成像中的临床应用价值。方法 选择因 直肠或左半结肠癌和血管性病变行