摘要
目的:分析小肠平滑肌肿瘤的血管造影的X线表现,探讨血管造影对小肠平滑肌肿瘤的临床应用价值。材料和方法:应用选择性肠系膜上动脉造影,回顾性分析了11例小肠平滑肌肿瘤的血管造影征象。结果:血管造影主要表现为:①肿瘤的供血动脉增粗;②动脉期显示一团病理血管;③可有血管池;④肿瘤染色;⑤可出现静脉早显。结论:①血管造影对小肠平滑肌肿瘤的诊断价值优于钡剂造影和内镜检查,可作为本病的首选方法。②定位诊断必需仔细寻找病变的供血动脉发出的解剖位置作出诊断。③对良、恶性平滑肌肿瘤鉴别诊断提出了有参考价值的X线征象。
Objective:To study the radiological features of angiography in diagnosis of leimyomatous neoplasms of the small bowel and to evaluate its clinical application.Materials and Methods:11 cases are reviewed and analyzed in their radiographic characteristies with selective surperior mesenteric angiography.Results:Main features of angiography are:①feeding vassels are dilated.②Certain abnormal vassels show on arterial phase.③There are pool like collections of contract medium.④Tumor are stained.⑤Veins appear early.Conclusion:①Angiography is of more value in diagnosis of leimyomatous neoplasms of the small bowel than barium examination and endoscopy,and therefore,it becomes the first choice.②Anatomic localization of the diseased supplying vassels needs to be carefully found out for localization diagnosis.③Valuable radiographic characteristies were put forward in differential diagnosis of leiomyomas and leiomyosarcomas.
出处
《中国临床医学影像杂志》
CAS
2000年第1期29-31,共3页
Journal of China Clinic Medical Imaging
