鲁宏,丁仕义.小肠平滑肌肿瘤及小肠腺癌的血管观察(血管造影与血管铸型对比研究)[J].中国医学影像技术,2000,16(5):375~377 |
小肠平滑肌肿瘤及小肠腺癌的血管观察(血管造影与血管铸型对比研究) |
Abservation on Blood Vessels of Leiomyomas and Adenocarcinomas of Small Intestine( Comparing DSA with Cast) |
投稿时间:1999-07-11 |
DOI: |
中文关键词: 血管造影术 小肠 平滑肌肿瘤 腺癌 |
英文关键词:Angiography Small intestine Leiomyoma Adenocarcinoma |
基金项目: |
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摘要点击次数: 1938 |
全文下载次数: 47 |
中文摘要: |
目的 观察小肠平滑肌肿瘤及腺癌的血管特征。方法 对10 例平滑肌肿瘤、8 例腺癌标本分别进行血
管铸型,X 线摄影,病理观察,同时与肠系膜上动脉造影比较。结果 离体血管铸型能清晰显示血管,术前6 例确诊
为平滑肌肿瘤(6/ 10) ,3 例确诊为腺癌(3/ 8) 。小肠平滑肌肿瘤血管增多、增粗、紊乱,吻合丰富,瘤体染色,似“蜘蛛
网”状。小肠平滑肌肉瘤中心造影剂池明显。小肠腺癌血管变化多样,但常见癌周血管明显增多、紊乱,癌体血管较
少。结论 血管铸型 |
英文摘要: |
Objective To study vascular features of leiomyoma and adenocarcinoma. OMethods The specimens of 10 cases of leiomyomas and 8cases of adenocarcinomas confirmed pathologically were studied with vascular cast ,radiography and
pathology ,and then compared the blood vessels with DSA before operation. Results The vascular appearance of angiography as same as it of vascular cast . Vascular cast is better than angiography in study blood vessels. The common vascular characteristics of leiomyoma were that provided arteries were enlarged in size ,proliferation in bundles ,rich anastomosis ,dyed of
mass. It looked like spider networks. There were poor in vascularity and rich contrast medium puddle in parenchyma of adenocarcinoma. Diagnostic corresponding rate of leiomyoma was 60 % ,While it of adenocarcinoma was 37. 5 %. Conclusion
The leiomyomatous neoplasms in the small intestine are hypervascularized. Angiography is helpful diagnoses. But the blood
vessels of adenocarcinoma are poor in vasuclarity and variable in morphology ,it is difficult to diagnoses with angiography.
The vascular cast is a trust method of observe and measure on the blood vessels. |
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