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肾动脉造影和栓塞在肾癌术前诊断和治疗中的作用 被引量:4

Values of Renal Artery Angiography and Embolization in the Preoperative Diagnosis and therapy of Renal Carcinoma
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摘要 本文回顾性对比分析自1991年10月~1995年5月58例肾癌先后行肾动脉造影、栓塞和手术切除的结果,分析显示:肾癌常见和特异性高的造影征象为肿瘤血管(95%)和肾内血管移位侵蚀中断(90%)以及肿瘤染色(83%);造影对肾癌分期的总准确率为90%,其中Ⅰ期75%、Ⅱ期92%、Ⅲ期73%;用改进的明胶海绵和自制的白芨粉粒行肾动脉栓塞,可使肾癌手术出血少、易分离,缩短手术时间和提高肾癌切除率。讨论了肾动脉造影和栓塞在肾癌术前诊断和治疗中的作用,以及肾动脉栓塞剂的选用。认为肾癌术前宜常规行肾动脉造影和栓塞。 Authors analyzed retrospectively the compared results of renal artery angiography, embolization and operative pathololgy of 58 cases of renal carcinoma from October, 1991 to May, 1995. Resultsshowed: the common and peculiar signs of angiography of renal carcinoma were tumor vessels (95 % ), corroding the intrarenal vessels (90% )and tumor staining (83 N ) - Total correct rate of renal carcinoma with staging of angiography was 90%, Ⅰstage in 75%,Ⅱ stage in 92%, N stage in 73% respectively. Embolization of renal artery with gelform and Bletilla Striata powders made less hemorrhage and easy separation in operation,shortening operative time and increasing the resectable rate of renal carcinoma. Discussing the values of renal artery angiography and embolization in the preoperative diagnosis and therapy of renal carcinoma, andtrial of renal arterial embolus authors considered that conventional renal artery angiography and embolizationwere useful in the preoperation of renal carcinoma.
出处 《现代医用影像学》 1996年第4期147-150,共4页 Modern Medical Imageology
关键词 肾肿瘤 肾动脉 血管造影 栓塞疗法 Renal carcinoma Renal artery Angiography Embolization
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