消化系统恶性肿瘤112例血管造影表现及临床意义

Angiographic Features in 112 Cases of Malignancy of Digestive System and Its Clinical Significance

目的 提高血管造影对消化系统恶性肿瘤诊断价值的认识及其对介入治疗的指导意义。方法 回顾性分析了 112例消化系统恶性肿瘤病例 ,其中肝癌 5 2例、胃 (贲门 )癌 46例、胰腺癌 5例、大肠癌 9例 ,除部分胰腺癌、肝癌经随访证实 ,余均为手术、病理证实 ,大部分为中晚期肿瘤。结果 消化系统恶性肿瘤的血管造影均出现肿瘤血管、肿瘤染色、血管增粗、狭窄、扭曲、移位等。结论 血管造影不仅对消化系统恶性肿瘤具有重要的诊断价值 。

Objective To improve the value of angiography in the diagnosis of the malignancy of digestive system, and to direct its interventional therapy. Methods 112 cases of malignancy of digestive system including 52 cases of liver cancer, 46 cases of cardiac carcinoma, 5 cases of pancreatic carcinoma and 9 cases of large intestinal carcinoma were studied retrospectively. Except a part of carcinomas in pancreas and liver which were approved by follow up, the remainder of cases were confirmed by surgery and pathology. Results The angiopraphic features showed as follows: tumorous vessels, staining of tumor, the dilatation of the blood vessels, cramped, crooked, shifted and so on. Conclusion Angiography not only has important diagnostic value on the malignancy of digestive system, but also gives implication in its interventional therapy.