CAJ | 학술논문

目的探讨介入在诊断及治疗子宫肿瘤合并假性动脉瘤的应用价值。方法对中南大学湘雅医学院附属肿瘤医院收治的27例子宫肿瘤合并假性动脉瘤患者行DSA造影。明确诊断后介入栓塞假性动脉瘤供血动脉及子宫动脉。分别于术前、术后1周～6个月行CT扫描比较假性动脉瘤瘤腔大小变化。术后1个月内复查血常规评估贫血改善程度。结果27例患者DSA造影均确诊为假性动脉溜，其中双侧子宫动脉供血25例（达92.5%）；侧支血管供血21例（达77.7%）。治疗后1周临床症状明显改善，血红蛋白升高（P＜0.05）。1周内假性动脉瘤瘤腔大小无明显变化，1～3个月假性动脉瘤腔缩小（P＜0.05）。结论介入治疗在彻底栓塞假性动脉瘤载瘤血管后，退管至上级动脉能充分栓塞原发肿瘤供血动脉及侧支血管，具有微创、止血彻底、兼顾治疗原发肿瘤的优势，已逐渐成为治疗肿瘤合并假性动脉瘤的首选方法。
목적탐토개입재진단급치료자궁종류합병가성동맥류적응용개치。방법대중남대학상아의학원부속종류의원수치적27례자궁종류합병가성동맥류환자행DSA조영。명학진단후개입전새가성동맥류공혈동맥급자궁동맥。분별우술전、술후1주～6개월행CT소묘비교가성동맥류류강대소변화。술후1개월내복사혈상규평고빈혈개선정도。결과27례환자DSA조영균학진위가성동맥류，기중쌍측자궁동맥공혈25례（체92.5%）；측지혈관공혈21례（체77.7%）。치료후1주림상증상명현개선，혈홍단백승고（P＜0.05）。1주내가성동맥류류강대소무명현변화，1～3개월가성동맥류강축소（P＜0.05）。결론개입치료재철저전새가성동맥류재류혈관후，퇴관지상급동맥능충분전새원발종류공혈동맥급측지혈관，구유미창、지혈철저、겸고치료원발종류적우세，이축점성위치료종류합병가성동맥류적수선방법。
Objective Discuss the application value of interventional diagnosis and treatment of uterine tumor with pseudoaneurysm.Methods 27 patients uterine tumor complicated with pseudoaneurysm were underwent DSA angiography.To grade embolism feeding arteries of primary tumor and pseudoaneurysm after clearing the path. Respectively,do CT scan to compare the change of tumor size before and after the operation from one week to six months.Review of blood after a month to evaluate the degree of improvement of the anemia.Results 27 patients underwent DSA angiography, 25 patients with bilateral uterine artery,up to 92.5%;21 patients with the supply of blood to Collateral vessel,up to 77.7%.Treating after a week clinical symptoms improved significantly, hemoglobin increased(P<0.05). No significant changes in tumor size in a week,reviewing pseudoaneurysm after 1 months,the cavity of tumor has shrunk(P<0.05).Conclusion After the pseudoaneurysm aneurysm vascular embolization thoroughly,the classification artery embolization retreat to superiors artery and can complete embolization primary tumor feeding arteries and collateral vessels. It has gradually become the preferred method for the treatment of tumors complicated with pseudoaneurysm rupture.