Rubinstein Z J, Morag B, Itzchak Y
Isr J Med Sci. 1980 Dec;16(12):831-42.
The changing role of diagnostic radiology in modern medicine is reviewed. Special emphasis is placed on the ever-increasing use made of diagnostic procedures for therapeutic purposes. Percutaneous catheter introduction, formerly utilized only for diagnostic vascular procedures, has now been adapted for use in the renal and biliary systems. Treatment may be definitive and may replace surgery. Examples include embolization for the control of internal hemorrhage, removal of retained biliary calculi and intravascular foreign bodies, drainage of a fluid-filled cavity, and dilatation of an area of arterial stenosis. Palliative treatment, as part of the management of malignant tumors, includes intraarterial chemotherapy, preoperative embolization and percutaneous relief of inoperable obstructions of the renal or biliary tracts. Illustrative cases are presented and the indications, techniques and complications of these procedures are discussed.
本文综述了诊断放射学在现代医学中不断变化的作用。特别强调了诊断程序在治疗目的方面的使用日益增加。经皮导管插入术，以前仅用于诊断性血管程序，现在已适用于肾脏和胆道系统。治疗可能是确定性的，并且可以替代手术。例子包括用于控制内出血的栓塞、取出残留的胆结石和血管内异物、引流充满液体的腔以及扩张动脉狭窄区域。作为恶性肿瘤管理的一部分，姑息治疗包括动脉内化疗、术前栓塞以及经皮缓解肾脏或胆道无法手术的梗阻。文中展示了说明性病例，并讨论了这些程序的适应症、技术和并发症。
