摘要
目的 探讨CT导向下经皮细针穿刺化学消融术治疗肾上腺肿瘤的价值。方法 CT导向下经皮细针穿刺化学消融术治疗 37例肾上腺肿瘤 ,其中无功能性腺瘤 11例、皮质醇腺瘤 5例、醛固酮腺瘤 7例、转移瘤 14例 (2 0个病灶 )。病灶瘤径小于 3cm者注射无水乙醇治疗 ,大于 3cm者注射 5 0 %冰醋酸治疗。结果 10个瘤径小于 3cm的良性肿瘤治疗后仅残留少许纤维影 ;16个大于3cm的良性肿瘤均有进行性缩小 ;8个转移瘤灶缩小 1/3以上 ,5个转移瘤灶治疗后瘤径无变化但瘤体内存在大面积低密度坏死区 ,7个转移瘤灶有增大并合并其他部位多发转移。全部功能性肾上腺肿瘤治疗后血液中激素水平恢复到正常范围。结论 CT导向下经皮细针穿刺化学消融术治疗肾上腺肿瘤是 1种效果显著、创伤性小、操作简便的介入方法。
Objective To evaluate the efficacy of percutaneous chemoablation of adrenal tumors with fine needles under the CT guidance. Methods Thirty-seven cases of adrenal tumors were treated with chemoablation under CT guidance.Among them,there were 11 cases of non-functional adenoma,5 cases of corticosteroid adenoma,7 cases of aldosteronoma,and 14 cases of metastasis (20 foci).Results After therapy,10 benign tumors with diameter less than 3 cm were nearly disappeared.The sizes of 16 benign tumors with diameter over 3 cm gradually decreased.There was a significant reduction in the volumes of 8 metastases,large area of necrosis in 5 metastases,and the sizes of another 7 metastases were enlarged and with multi-metastasis.The normalization of hormone plasma levels was noted in all cases of functional adenoma. Conclusion CT-guided percutaneous chemoablation of the adrenal tumors is an effective,less invasive,and easy manipulated procedure.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2004年第4期393-396,共4页
Chinese Journal of Radiology
