摘要
目的探索无水酒精碘化油乳液经导管血管内栓塞（ＴＡＥ）治疗肾癌及肾上腺癌的方法及效果。方法搜集９例肾癌或肾上腺癌病例，以１∶１无水酒精与碘化油液８～１８ｍｌ行肾动脉或肾上腺动脉栓塞，分析其临床表现、血管造影表现及ＣＴ随访结果。结果所有病例均成功实施了ＴＡＥ治疗，其中７例行肾动脉分支、２例行肾上腺动脉栓塞。栓塞后表现为症状减轻，肿瘤血供中断，体积缩小及肿瘤内碘化油均匀聚集。结论无水酒精碘化油乳液栓塞治疗肾癌及肾上腺癌，对大部分病人（尤其是肿瘤较小者）可导致肿瘤完全性坏死，疗效肯定，便于随访观察。随着技术的进步，有可能对肿瘤进行局部灭活，达到外科手术“切除”
Purpose To evaluate the effectiveness of transcatheter arterial embolization (TAE) of renal and adrenal carcinoma with a mixture of ethanol and lipiodol. Methods Nine patients with renal or adrenal carcinoma were treated with a mixture of ethanol and lipoidol. The ratio of ethanol to lipiodol was 1∶1 to yield a 50% ethanol mixture. The total amount of the ambolic material used varied from 8 to 18 ml. Clinical, angiographic and CT follow up were analyzed. Results Partial ablation of the embolized kidneys 7 patients and complete ablation of the embolized adrenal gland (2 patients) were achieved. All of these patients appeared with relief of symptoms, decrease in tumor size, collection of lipiodol in the tumors, and vessels obliteration of the tumors. Conclusion TEA of renal and adrenal carcinoma with a mixture of ethanol and lipiodol is an effectiv method and is also convenient for follow up. With the advancement of the technique, for some patients, it may be used to obtain the result similar to surgical resection.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1998年第5期294-296,共3页
Chinese Journal of Radiology
