动脉造影灌注化疗栓塞在恶性骨肿瘤诊断及治疗中的价值 |
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引用本文: | 孙青龙,慕义,董重谋,黄锐. 动脉造影灌注化疗栓塞在恶性骨肿瘤诊断及治疗中的价值[J]. 牡丹江医学院学报, 2014, 0(5): 24-27 |
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作者姓名: | 孙青龙 慕义 董重谋 黄锐 |
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作者单位: | 牡丹江林业中心医院放射介入科 黑龙江 牡丹江 157000 |
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摘 要: | 目的:探讨动脉造影灌注化疗栓塞在恶性骨肿瘤诊断及治疗中的价值。并同时为临床骨科择期保肢及截肢创造科学依据,提供有利条件,提高患者生存质量,延长患者生命。方法:将收治的15例恶性骨肿瘤患者行介入治疗,其中6例行单纯动脉造影灌注化疗,9例行动脉造影灌注化疗栓塞,其中6例患者介入术后1周后接受外科手术。观察术后病人临床症状和体征、定期随访。结果:恶性骨肿瘤供血动脉超选择性插管操作成功率100%,动脉造影病变范围明显大于X光、CT、MRI诊断范围,肿瘤血管消失,供血动脉闭塞,临床症状明显缓解,未出现严重的栓塞综合征反应及并发症。结论:动脉造影灌注化疗栓塞术是诊断及治疗恶性骨肿瘤的有效方法,诊断范围更明确,疗效显著,可作为恶性骨肿瘤诊断及术前新辅助化疗的一种可行性方式。
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关 键 词: | 骨肿瘤 治疗 栓塞 碘油乳剂 |
ARTERIOGRAPHY CHEMOENBLOIZATION VALUE IN THE DIAGNOSIS AND TREATMENT OF MALIGNANT BONE TUMORS |
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Affiliation: | Sun Qinglong etal (Department of Radiology, Mudanjiang Forest Center Hospital Mudanjiang 157001, China) |
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Abstract: | Objective: To investigate arteriography chemoembolization value in the diagnosis and treatment of malignant bone tumors. To create a scientific basis and amputation, to provide favorable conditions to improve the quality of life in patients with maling- nant bane tumers and extend the lives. Methods: From September 2005 -september 2011,15patients were treated for malignant bone tumor underwent interventional treatment,6 simple routine arteriography infusion chemotherapy,9 routine arteriography chemoemboliza- tion interiography infusion chemotherapy, including 6 patients 1 week after surgical intervention. The observed postoperative clinical signs and symptoms, regular follow - up. Results:Malignant bone tumor feeding artery selective intubation success rate was 100%, arte- riography extent of disease was significantly larger than the X - ray, CT, MRI. Diagnostic range of tumor blood vessels disappeared, feed- ing artery occlusion, the clinical symptoms were relieved, and id not appear serious embolism syndrome reaction and complications. Con- clusion: Arteriography perfusion chemoembolization is an effective method for the diagnosis and treatment of malignant bone tumor, diag- nosis clearer significant effect, which can be used as a viable means of malignant bone tumor. |
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Keywords: | bone tumors treatment embolism lipiodol emulsion |
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