| MSCTA腹部血管成像对肝脏肿瘤介入治疗的指导价值 |
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| 引用本文： | 高云,胡道予,李震,孟令山,张卫民.MSCTA腹部血管成像对肝脏肿瘤介入治疗的指导价值[J].CT理论与应用研究,2007,16(2):75-79. |
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| 作者姓名： | 高云 胡道予 李震 孟令山 张卫民 |
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| 作者单位： | 华中科技大学同济医学院附属同济医院,武汉430030 |
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| 摘 要： | 目的:探讨MSCTA腹部血管成像对肝脏肿瘤的介入治疗操作的指导价值.材料和方法:对于37例介入手术病例进行术前常规MSCTA腹部血管成像检查,术前多平面、多角度分析腹腔干开口位置;肝脏及肿瘤血管各分支开口部位、走行方向;肿瘤供血动脉和变异等细节,进而指导介入手术中的插管操作.结果:术前MSCTA清晰显示正常解剖腹腔干动脉及肠系膜上动脉开口16例,开口位置偏移9例,腹腔干动脉及肠系膜上动脉开口共干4例,腹腔干动脉闭锁2例.32例清晰显示腹腔干动脉,肝总动脉,肝固有动脉分支及走行方向.29例显示了肿瘤供血动脉,2例显示出变异肿瘤血管.结论:由于术前有MSCTA指导肝脏相关血管的分支走行信息,使介入操作能更准确地控制导管进入到靶血管中,明显减少了插管的时间,提高了肝脏肿瘤TACE介入治疗的成功率,TACE术前常规对患者进行MSCTA腹部血管成像对介入操作有很高的指导价值.
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| 关 键 词： | 计算机断层成像 血管成像 介入性 肝脏肿瘤 |
| 文章编号： | 1004-4140(2007)02-0075-05 |
| 修稿时间： | 2006年12月21日 |
Guidance of Multislice Helical Computed-tomography Angiography of Abdomen in Interventional Operation of Liver Tumors |
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| GAO Yun,HU Daoyu,LI Zheng,MENG Ling-san,ZHANG Wei-min.Guidance of Multislice Helical Computed-tomography Angiography of Abdomen in Interventional Operation of Liver Tumors[J].Computerized Tomography Theory and Applications,2007,16(2):75-79. |
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| Authors: | GAO Yun HU Daoyu LI Zheng MENG Ling-san ZHANG Wei-min |
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| Abstract: | Objective:Investigate the value of the multislice helical computed-tomography angiography used before the interventional operation of the fiver tumors.Materials and Methods:37 cases liver tumors were made angiographies by MSCT before they were interventional operated.The angiographies pictures could display the position of abdomen blood vessel,the branch of blood vessel,and the relation of vessel and tumor.And these could guide the interventional operation. Results:16 cases of the norm coeliac trunk artery were displayed by MSCTA.9 cases of the coeliac trunk artery location were misregistration.4 cases superior mesenteric artery,debounch from celiac trunk.2 cases coelical trunk artery were imperforation.32 cases clear displayed the coelical trunk artery,common hepatic artery,proper hepatic artery and left and right hepatic artery.29 cases displayed tumor feeding artery,2 cases display mutation feeding artery.Conclusion:With the guidance of MSCT angiography,the time of interventional operation decreased and it got easy to intubate.MSCT angiography of abdomen was valuable to guide the liver tumor interventional operation. |
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| Keywords: | Computed-tomography angiography intervention hepatic carcinoma |
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