腹膜后肿瘤穿刺技术探讨.pdfVIP

当代医学　2010年8月第16卷第23期总第214期　Contemporary Medicine, Aug. 2010,Vol.16 No.23 Issue No.214 doi:10.3969/j.issn.1009-4393.2010.23.024 腹膜后肿瘤穿刺技术探讨 李顺意 邓湘生 高文辉 肖长江 张湘荣 [摘要] 目的 腹膜后肿瘤CT及DSA双重导引下穿刺的安全性、准确性和手术技巧探讨.方法 穿刺前CT增强扫描，三维重建，并分别在下腔静 脉及腹主动脉插入血管导管作为标志，术中实时CT扫描监视。结果 穿刺成功率100%，无严重并发症发生。结论 术前术中措施提高了成功率， 安全性及准确性。 [关键词] 腹膜后肿瘤, 穿刺,CT，DSA导引下 Puncture technique of retroperitoneal tumor LI Shun-yi, DENG Xiang-sheng, GAO Wen-hui, XIAO Chang-jiang, ZHANG Xiang-rong Liling City Chinese Medicine Hospital of Hunan Province Hunan Academy of Traditional Chinese Medicine [Abstract] objective To explore the safety, accuracy and operation skills of puncture under guidance of CT and DSA on retroperitoneal tumors. Method Enhancement scanning and three-dimensional reconstruction by CT were done before puncture. Catheters were inserted into the inferior 入 介 瘤 肿 caval vein and abdominal aorta as a mark monitoring by CT during the operation. Results The success rate was 100% without serious complications. Conclusion The measures before and after operation improved the success rate, safety and accuracy. [key words] Retroperitoneal tumor; Puncture; Guided by CT and DSA T u m o r i n t e 腹膜后肿瘤指起源于腹膜后间隙的肿瘤组织，来源包括 麻后,将穿刺针或粒子输送针穿刺到预定点。原则：1.避开重要 r v e 脂肪、疏松结缔组织、筋骨膜、肌肉、血管组织、神经、淋巴 器官,如肾，脾，胰腺及神经根；2.穿刺方向避开腹主动脉，下