介入性放射学在肝肾动脉造影中的应用

在对41例肝肾动脉造影的同时,利用造影导管对不易手术切除的10例肝癌进行了抗癌药物灌注,对12例肾癌手术前施行了肾动脉栓塞。22倒经手术及病理证实造影正确者21例。造影确诊率为95.5%。恶性肿瘤表现的血管增生、肿瘤染色及供血动脉增粗、受压移位呈握球样外观等特征均可于肝肾动脉造影中显示。所以,肝肾动脉造影不仅可诊断肝肾占位性病变和鉴别良恶性病变,而且可以治疗一部分恶性病变。本文并对肝肾动脉造影的有关问题进行了讨论。

The Use of Interventional Radiology in Hepatic-Renal Arteriography

This is a study of 22 cases by the interventional radiological means and hepatic-renal arteriography. The stress was laid on renal carcinoma embolization and the cases of late inoperable hepatic carcinoma. In the latter cases 5-Fu was poured down by the catheter.Hepatic-renal arteriography can not only identify diagnosis but also make differential diagnosis. 22 cases revealed the graphic signs of the hepaticrenal carcinoma,i.e. tumour artery proliferation, appearance of stained tumour and vein, and balling of the arteries round the tumour body. This paper also describes arteriographic method and some necessary cautions, X-ray evidence and differential diagnosis and the relative problems of interventional radiology.