摘要
目的探讨介入在诊断及治疗子宫肿瘤合并假性动脉瘤的应用价值。方法对中南大学湘雅医学院附属肿瘤医院收治的27例子宫肿瘤合并假性动脉瘤患者行DSA造影。明确诊断后介入栓塞假性动脉瘤供血动脉及子宫动脉。分别于术前、术后1周～6个月行CT扫描比较假性动脉瘤瘤腔大小变化。术后1个月内复查血常规评估贫血改善程度。结果 27例患者DSA造影均确诊为假性动脉溜,其中双侧子宫动脉供血25例(达92.5%);侧支血管供血21例(达77.7%)。治疗后1周临床症状明显改善,血红蛋白升高(P<0.05)。1周内假性动脉瘤瘤腔大小无明显变化,1～3个月假性动脉瘤腔缩小(P<0.05)。结论介入治疗在彻底栓塞假性动脉瘤载瘤血管后,退管至上级动脉能充分栓塞原发肿瘤供血动脉及侧支血管,具有微创、止血彻底、兼顾治疗原发肿瘤的优势,已逐渐成为治疗肿瘤合并假性动脉瘤的首选方法。
Objective Discuss the application value of interventional diagnosis and treatment of uterine tumor with pseudoaneurysm.Methods 27 patients uterine tumor complicated with pseudoaneurysm were underwent DSA angiography.To grade embolism feeding arteries of primary tumor and pseudoaneurysm after clearing the path. Respectively, do CT scan to compare the change of tumor size before and after the operation from one week to six months.Review of blood after a month to evaluate the degree of improvement of the anemia.Results 27 patients underwent DSA angiography, 25 patients with bilateral uterine artery, up to 92.5%;21 patients with the supply of blood to Collateral vessel,up to 77.7%.Treating after a week clinical symptoms improved significantly, hemoglobin increased（P〈 0.05 ）. No significant changes in tumor size in a week,reviewing pseudoaneurysm after 1 month ,the cavity of tumor has shrunk（P〈 0.05）.Gonclusion After the pseudoaneurysm aneurysm vascular embolization thoroughly, the classification artery embolization retreat to superiors artery and can complete embolization primary tumor feeding arteries and collateral vessels. It has gradually become the preferred method for the treatment of ttunors complicated with pseudoaneurysm rupture.
出处
《当代医学》
2013年第18期39-41,共3页
Contemporary Medicine
