[1]张晓波,金征宇,向阳,等.超选择动脉栓塞术在妊娠滋养细胞肿瘤治疗中的价值[J].介入放射学杂志,2010,(06):451.
 ZHANG Xiaobo,JIN Zhengyu,XIANG Yang,et al.Evaluation of superselective arterial embolization in treating gestational trophoblastic tumors[J].journal interventional radiology,2010,(06):451.
点击复制

超选择动脉栓塞术在妊娠滋养细胞肿瘤治疗中的价值()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年06期
页码:
451
栏目:
肿瘤介入
出版日期:
2010-06-15

文章信息/Info

Title:
Evaluation of superselective arterial embolization in treating gestational trophoblastic tumors
作者:
张晓波金征宇向阳
100730北京中国医学科学院、中国协和医科大学北京协和医院放射科(张晓波、金征宇、杨宁、刘巍、潘杰、李晓光、石海峰);妇产科(向阳、万希润、杨隽钧)
Author(s):
ZHANG Xiao-boJIN Zheng-yuXIANG YangYANG NingLIU WeiWAN Xi-runYANG Jun-junPAN JieLI Xiao-guangSHI Hai-feng.
Peking Union Hospital,Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing100730,China
关键词:
妊娠滋养细胞肿瘤动脉栓塞介入治疗
分类号:
R737.33
文献标志码:
A
摘要:
目的探讨超选择动脉栓塞术在妊娠滋养细胞肿瘤治疗中的价值。方法1999年1月至2009年12月超选择动脉栓塞治疗妊娠滋养细胞肿瘤患者86例,包括急性大出血34例和病灶内存在严重动静脉瘘52例。所有患者均接受了全身静脉化疗。结果34例急性大出血患者接受超选择动脉栓塞后出血均得到有效控制,其中2例分别于栓塞后3、5d出血复发,经第2次栓塞后好转。52例患者存在严重子宫动静脉瘘,栓塞后造影显示动静脉瘘消失,化疗周期内未发生严重出血事件。本组86例患者中84例获随访,79例仍存活,生存率为91.9%。全组完全缓解71例(82.6%),部分缓解8例(9.3%),死亡5例(5.8%)。结论超选择动脉栓塞术可有效治疗和预防滋养细胞肿瘤原发灶或转移瘤大出血,对全身静脉化疗起到了很好的辅助作用。

参考文献/References:

[1]Noal S,Joly F,Leblanc E.Management of gestational tropho-blastic disease[J].Gynecol Obstet Fertil,2010,38:193-198.
[2]Morgan JM,Lurain JR.Gestational trophoblastic neoplasia:an update[J].Curr Oncol Rep,2008,10:497-504.
[3]Berkowitz RS,Goldstein DP.Current management of gestational trophoblastic diseases[J].Gynecol Oncol,2009,112:654-662.
[4]Lok CA,Reekers JA,Westermann AM,et al.Embolization for hemorrhage of liver metastases from choriocarcinoma [J].Gynecol Oncol,2005,98:506-509.
[5]Pearl ML ,Braga CA.Percutaneous transcatheter embolization for control of life-threatening pelvic hemorrhage from gestational trophoblastic disease[J].Obstet Gynecol,1992,80:571-574.
[6]杨秀玉,杨宁,宋鸿钊.等超选择性动脉插管持续灌注化疗治疗绒癌耐药患者的分析[J].中华妇产科杂志,1996,31:199-202.
[7]宋鸿钊,杨秀玉,向阳.滋养细胞肿瘤的诊断和治疗[M].北京:人民卫生出版社,2004:139.

相似文献/References:

[1]司同国,郭志.近期脑栓塞患者下肢动脉栓塞的溶栓治疗[J].介入放射学杂志,2008,(05):359.
 SI Tongguo,GUO Zhi.Thrombolysis for acute lower limb arterial embolism in patients with recent cerebral embolism[J].journal interventional radiology,2008,(06):359.
[2]陈胜利,黄子诚,陈国东,等.动脉栓塞治疗男性先天性盆腔动静脉畸形一例[J].介入放射学杂志,2008,(05):362.
 CHEN Shengli,WANG Zhichen,CHEN Guodong,et al.Transarterial embolization of congenital pelvic arteriovenous malformation in a male(A case report and review of the literature)[J].journal interventional radiology,2008,(06):362.
[3]孟小茜,刘士远,董伟华,等.经动脉栓塞治疗肾动静脉畸形或瘘所致血尿[J].介入放射学杂志,2008,(06):400.
 MENG Xiaoxi,LIU Shiyuan,DONG Weihua,et al.Transarterial embolization for hematuria caused by renal arteriovenous malformations or fistulae[J].journal interventional radiology,2008,(06):400.
[4]曹跃勇,朱军,徐晓茜,等.原发性肝癌动脉栓塞术后螺旋CT和彩色多普勒超声比较和评价[J].介入放射学杂志,2008,(10):709.
 CAO Yueyong,ZHU Jun,XU Xiaoxi,et al.Comparison and evaluation between helical computer tomography and color-Doppler ultrasonography in primary hepatocellular carcinoma after transcatheter arterial chemoembolization[J].journal interventional radiology,2008,(06):709.
[5]安潇,王精兵,王悍,等.介入栓塞术治疗血小板无力症子宫出血一例[J].介入放射学杂志,2008,(11):836.
 AN Xiao,WANG Jingbing,WANG Han,et al.Transcatheter arterial embolization for treatment of uterinehemorrhage caused by glanzmann thrombasthenia:a case report[J].journal interventional radiology,2008,(06):836.
[6]孙昊,李晓光,金征宇,等.经导管超选择性动脉栓塞治疗恶性滋养细胞肿瘤大出血[J].介入放射学杂志,2010,(06):447.
 SUN Hao,LI Xiaoguang,JIN Zhengyu,et al.Transcatheter superselective arterial embolization for the treatment of massive hemorrhage due to malignant gestational trophoblastic tumors[J].journal interventional radiology,2010,(06):447.
[7]蒋运东,唐玉新,张弘,等.动脉栓塞治疗中疼痛与止痛药应用分析[J].介入放射学杂志,1998,(03):155.
[8]万军,顾伟瑾,王海云,等.双侧子宫动脉化疗栓塞术治疗剖宫产后瘢痕妊娠大出血的临床应用[J].介入放射学杂志,2009,(07):499.
 WAN Jun,GU Weijin,WANG Haiyun,et al.Clinical application of bilateral uterine arterial chemoembolization in the treatment of massive hemorrhage due to cesarean scar pregnancy[J].journal interventional radiology,2009,(06):499.
[9]司毅,张火俊,杨继金,等.髂内动脉栓塞术治疗放射性膀胱炎所致血尿[J].介入放射学杂志,2007,(09):635.
 SI Yi,ZHANG Huo-jun,YANG Ji-jin,et al.Bilateral internal iliac arterial embolization in treating hemorrhagic irradiation cystitis[J].journal interventional radiology,2007,(06):635.
[10]吴宇旋,窦永充,张彦舫,等.经皮射频消融治疗巨大肝癌[J].介入放射学杂志,2007,(11):755.
 WU Yu-xuan,DOU Yong-chong,ZHANG Yan-fang,et al.Percutaneous radiofrequency ablation for huge liver cancer[J].journal interventional radiology,2007,(06):755.

备注/Memo

备注/Memo:
收稿日期:2010-03-31
更新日期/Last Update: 2010-06-15