Szalay S, Bardach G, Janisch H, Leodolter S
Wien Klin Wochenschr. 1979 Jan 5;91(1):8-11.
The methods of examination which are usually used in cases of tumours of the lower abdomen are mostly not able to determine the site of origin of the lesion of its histology unequivocally. Angiographic examination techniques enable the definition of such tumours and very often allow the differentiation between benign and malignant lesions. Both hypogastric arteries are selectively or semiselectively catheterized using Seldinger's technique. Additionally, in most patients, aortography and selective catheterization of the inferior mesenteric artery is performed. So far the diagnosis of an adnexal tumour was made by angiography in 6 out of 30 patients. The typical angiographic criteria of ovarian carcinoma are cited and discussed. Our results show that in selected cases of suspected ovarian tumours angiography offers good results and, therefore, it deserves an important place among the different available clinical examination techniques.
通常用于下腹部肿瘤病例的检查方法大多无法明确确定其组织学病变的起源部位。血管造影检查技术能够明确此类肿瘤的情况,并且常常有助于区分良性和恶性病变。使用Seldinger技术对双侧髂内动脉进行选择性或半选择性插管。此外,在大多数患者中,还进行主动脉造影和肠系膜下动脉的选择性插管。到目前为止,30例患者中有6例通过血管造影诊断为附件肿瘤。文中引用并讨论了卵巢癌典型的血管造影标准。我们的结果表明,在选定的疑似卵巢肿瘤病例中,血管造影取得了良好的效果,因此,在现有的不同临床检查技术中,它应占有重要地位。