动脉造影对女性盆腔常见肿瘤的诊断价值

目的：综合评价动脉造影技术对女性盆腔常见肿瘤的诊断价值。方法搜集自2013年1月至2015年7月间在我院住院病治疗的盆腔肿瘤患者60例，根据病情需要，分别进行CTA动脉重建、DSA动脉显影、MRA血管重建，对肿瘤的供血动脉进行显示。结果子宫肌瘤的患者16例可见子宫动脉子宫支及卵巢动脉负责供血；膀胱癌患者10例膀胱动脉上下支负责供血；卵巢肿瘤15例(14例原发，1例卵巢种植转移)由子宫动脉卵巢支、卵巢动脉负责供血；直结肠肠癌患者19例回结肠动脉、乙状结肠动脉支、直肠上动脉、直肠下动脉和骶正中动脉供血。结论动脉血管成像技术、CTA、DSA、MRA可对女性盆腔常见肿瘤进行准确显影，对介入及微创治疗术前提供可靠的指导，避免损伤或遗漏重要动脉。

Diagnostic Value of Angiography in Female Common Pelvic Tumors

Objective To evaluate the diagnostic value of angiography in female common pelvic tumors. Methods From January 2013 to July 2015, 60 female patients (26-75 years, mean 60.5 years) with pelvic tumor were included. The feeding artery of those tumors were displayed by reconstruction techniques which include CTA, DSA and MRA. Results The feeding arteries included the uterine branch of uterine artery and ovarian artery was seen in 16 patients with leiomyoma. While in 15 patients with ovarian tumor (14 cases were primary tumor and 1 case was metastatic tumor), the source of the blood supply was ovarian branch of uterine artery or ovarian artery. For 19 patients with colorectal carcinoma, the feeding arteries included ileocolic artery, sigmoid arteries, superior rectal artery, inferior rectal artery and median sacral artery. Conclusion Angiography is helpful in depicting the feeding arteries of female common pelvic tumor, and guide to preoperative diagnosis and assessment, so that to avoid damage or missing important arteries.