[1]刘玉金,张孝军,宋 鹏,等. 纵隔肿瘤血管造影及栓塞的临床应用[J].介入放射学杂志,2012,(11):916-920.
 [J].journal interventional radiology,2012,(11):916-920.
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 纵隔肿瘤血管造影及栓塞的临床应用 ()

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

卷:
期数:
2012年11期
页码:
916-920
栏目:
肿瘤介入
出版日期:
2012-11-28

文章信息/Info

作者:
 刘玉金 张孝军 宋 鹏 王志军 徐家华 王茂强
关键词:
 【关键词】 纵隔肿瘤 血管造影 栓塞
文献标志码:
A
摘要:
 【摘要】 目的 评价纵隔肿瘤供血动脉来源及其栓塞的价值。方法 收集近年来经肿瘤供血动脉栓塞治疗的纵隔肿瘤6例,其中胸骨后甲状腺肿1例,恶性胸腺瘤1例,恶性神经纤维瘤2例,滑膜肉瘤1例,纵隔型肺癌1例,均经手术病理证实。分析纵隔肿瘤的动脉供血来源,评估栓塞对辅助手术切除及预后的价值。结果 纵隔肿瘤根据生长位置可有不同的供血动脉,本组病例所见主要供血动脉有甲状颈干、胸廓内动脉、支气管动脉、膈下动脉和肋间动脉,发生胸壁侵犯时可有胸壁外侧动脉供血。肝动脉也可向邻近纵隔肿瘤供血。可同时有纵隔两侧动脉供血。3例于栓塞后20 h内手术切除,术中出血明显较少,肿瘤易于剥离,切除标本可见肿瘤大部分变性坏死。3例因为术后复发、瘤体巨大未行手术切除,复查可见肿瘤大部分坏死、体积萎缩。结论 纵隔肿瘤供血动脉来源复杂,需根据肿瘤部位、大小及侵犯范围全面寻找可能的供血动脉,以达到彻底栓塞的目的。栓塞对于辅助手术切除和控制肿瘤发展具有积极作用。

参考文献/References:

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备注/Memo

备注/Memo:
 (收稿日期:2012?鄄07?鄄17)
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