目的探讨对肾上腺转移癌采用介入方法进行治疗的方法和临床疗效.方法对54例肾上腺转移癌患者行动脉插管灌注及栓塞治疗.结果 1例未找到肾上腺供血动脉,53例肾上腺转移癌患者行76次灌注及栓塞治疗,技术成功率为 98.1%,栓塞后临床症状改善率100%,术后3个月, 75.4%患者瘤灶内碘油仍沉积良好;并发症发生率为 1.88%.结论采用介入方法对肾上腺转移癌行灌注及栓塞治疗安全、有效,值得临床广应用.
Objective To evaluate the value of interventional embolism therapy for metastatic carcinoma of adrenal gland.Methods Fifty four patients with metastatic carcinoma of adrenal gland were treated with interventional catheterization perfusion and embolism therapy.Results Except one case with failure of finding the feeding artery, totally 76 sessions of interventional therapy were performed on 53 patients. Technical successful rate was 98.1% with 100% of complete release of clinical sign in 14 patients. Good deposition of iodized oil in tumor area reached 75.4% in three months after the procedure. Severe complication rate ocurred in 1.88%. Conclusion Interventional therapy seemed to be safe and effective for patients with metastatic carcinoma of adrenal gland.
Journal of Interventional Radiology