介入诊疗技术在血管性病变和恶性肿瘤中的应用价值

Application of interventional diagnostic and therapeutic technique for vascular lesion and malignant tumor

目的 :评价介入诊疗技术对血管性病变和恶性肿瘤的诊断和治疗价值。方法 :采用Seldinger技术动脉插管造影、药物灌注、栓塞 ;经皮穿刺活检、注射无水酒精 ,置管引流及内支架植入术对原因不明的消化道出血、肺 (肝 )结节状病灶、呼吸道大咯血、动脉血栓形成、动脉瘤、中、晚期恶性肿瘤及其并发症进行诊断和治疗。结果 :5 2 0例中属诊断性 10 3例 ,其中 ,经介入方法确诊的 97例 ,占 94.2 % ,未确诊的 6例占 5 .8% ,属治疗性 417例 ,其中有效 411例 ,占 98.6%。结论 :介入诊疗技术在血管性病变和恶性肿瘤的诊断和治疗中具有应用范围广、疗效佳、并发症少、损伤小等特点 ,在很大程度上能弥补传统诊疗技术和内外。

Objective: To assess the value of interventional diagnostic and therapeutic methods for vascuar lesion and malignant tumor. Methods: The methods of interventional diagnosis and therapy included arteriography, infusion of medicines and embolization by means of Seldinger's technique, percutaneous biopsy, and injection of absolute alcohol as well as placement of drainage tube and stent for patients with digestive tract hemorrhage of unknown etiology, pulmonary or hepatic nodular lesions,massive hemoptysis,arterial thromosis, aneurysm, and advanced malignant tumor as well as its complications.Results: Five hundred and twenty cases were retrospectively analyzed, including 103 cases as diagnostic group and 417 as therapy group. Among 103 cases, 97 could be correctly diagnosed (94.2%) and 6 could not (5.8%).Among 417 cases, there were curative effects for 411 cases (98.6%). Conclusions: The interventional diagnostic and therapentic methods for vascular lesion and malignant tumor have been widely used and are methods of choice to supplement the conventional routine diagnotic method as well as medical and surgical treatments.