不同角度数字减影血管造影在肝肿瘤介入治疗中的应用价值.pdfVIP

· 40· J Chin Microcirc Feb．2008．Vo1．12．No．1 文章编号：1007-8568(2008)01--0040-03 · 临床研究 · 不同角度数字减影血管造影在 肝肿瘤介入治疗中的应用价值 姜建威，吴清华，李新胜，吴震海，成 岗 【摘要】 目的 探讨不同角度数字减影血管造影(DSA)技术在肝肿瘤经动脉栓塞术中的应用价 值。方法 采用C型臂x光机系统，52例原发性肝癌患者每一病例均在介入化疗栓塞前后行肝固有 动脉常规及不同角度DSA检查，比较两种方法对肝内病灶个数及肿瘤供血动脉的敏感性。结果 常规 DSA显示病灶个数为62个，有21例患者肝亚段动脉因相互重叠不能被独立分辨，18例因多支动脉分 支与肿瘤位置重叠而不能确认肿瘤供血来源。而不同角度方法显示病灶个数66个，发现4个常规 DSA漏诊的小病灶，在5O例中清晰显示了肝亚段动脉的结构，复杂的肿瘤供血动脉及其走行，两种方 法比较x =12．64，P0．05。结论 不同角度DSA能够多方位清晰地显示迂曲走行的动脉和重叠隐 匿的较小的肿瘤病灶，显著提高小病灶检出率，提高超选择性插管的成功率和降低肝脏肿瘤的漏诊率， 是一种重要的补充检查手段，有着重要的临床意义。 【关键词】 数字减影血管造影；经动脉化疗栓塞术；肝肿瘤 中图分类号：R446．11 文献标识码：B Evaluation of Different Angle DSA in Interventional Therapy of Liver Neoplasm jlANG Jian—wei。WU Qing—hua。LI Xing—sheng。WU Zheng—hai。CHENG Gang．Radiology Department ofWuxi No．3 Hospital Wuxi 214041，China 【Abstract】Objective To discuss the application value of different angle DSA technique in the inter— ventional management of liver neoplasm．Methods With PHILIPS Allrua DSA unit，both conventional and different angle DSA angiography of the proper hepatic artery were performed in 52 patients with liver neoplasm who were divided into control group and different angle DSA group before and after the interventional manage— ment．The detection of the lesion’S number and the tumor—feeding artery was compared between images of two groups．Results 62 focuses of the liver neoplasm were displayed in control group，the whole course of the tumor—feeding artery could not be clearly displayed due to excessive tortuosity of the vessels in 1 8 patients， sub—segmental branches of hepatic artery could not be clearly resolved due to interlap in 2 1 patients；66 focuses of the liver neoplasm were displayed in different angle DSA group，sub—segmental branches of hepatic artery could be demonstrated satisfactorily in 50 patients．Different angle DS