[1]陈春林,徐玉静,刘 萍,等.子宫肌瘤数字化三维动脉血管网的构建和意义[J].介入放射学杂志,2012,(01):35-39.
 CHEN Chun-lin,XU Yu-jing,LIU Ping,et al.The construction of digital 3D arterial vascular network of uterine[J].journal interventional radiology,2012,(01):35-39.
点击复制

子宫肌瘤数字化三维动脉血管网的构建和意义()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年01期
页码:
35-39
栏目:
肿瘤介入
出版日期:
2012-01-30

文章信息/Info

Title:
The construction of digital 3D arterial vascular network of uterine
作者:
陈春林徐玉静刘 萍欧阳振波许乙凯毛东瑞段 慧祝江红王建平任道坤昌仁民唐 雷钟世镇
510515 广州 南方医科大学,南方医院妇产科,影像中心,解剖学研究所
Author(s):
CHEN Chun-lin XU Yu-jing LIU Ping OUYANG Zhen-bo XU Yi-kai MAO Dong-rui DUAN Hui ZHU Jiang-hong WANG Jian-ping REN Dao-kun CHANG Ren-min TANG Lei ZHONG Shi-zhen.
 Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
关键词:
 【关键词】   子宫肌瘤 血管网 动脉栓塞术 数字化 血供
文献标志码:
A
摘要:
【摘要】   目的   探讨构建基于CTA数据的子宫肌瘤数字化三维动脉血管网的方法,并通过其观察肌瘤的血供来源和血供分布类型?方法   选取子宫肌瘤患者64例行双源CTA扫描,获取CT原始图像后利用Mimics10.01软件对子宫肌瘤动脉血管网进行数字化三维重建,并作分析。结果   (1)构建了64例患者的子宫肌瘤数字化三维动脉血管网,可清晰的显示盆腔大动脉。子宫动脉及肌瘤的主要供血血管和血供分布情况。(2)患者肌瘤的血供来源分别为子宫动脉(81.25%)。子宫动脉和单侧卵巢动脉(10.9%)、子宫动脉和双侧卵巢动脉(4.69%)及卵巢动脉(3.1%)。(3)子宫肌瘤血供的分布类型可分为4型:①Ⅰ型:一侧动脉供血为主型(一侧子宫动脉伴/不伴同侧卵巢动脉的供血量显著超过子宫肌瘤瘤体的1/2),占35.9%(23/64);②Ⅱ型:双侧动脉供血均衡型(双侧子宫动脉伴/不伴同侧卵巢动脉的供血量分别约为子宫肌瘤瘤体的1/2),占53.1%(34/64);③Ⅲ型:单纯一侧子宫动脉供血型,占7.8%(5/64);④Ⅳ型:卵巢动脉供血型,占3.1%(2/64)。结论   利用CTA和重建软件可以构建出数字化三维的子宫肌瘤动脉血管网,并可进行血供来源及分布的分析,为手术方案的制定和临床教学提供参考。

参考文献/References:

[1] Yoon SW, Kim KA, Kim SH, et al. Successful magnetic resonance imaging-guided focused ultrasound surgery for recurrent uterine fibroid previously treated with uterine artery embolization[J]. Obstet Gynecol Int, 2010, [epub 2010, Aug 16].
[2] Deuk KM, Seok LH, Hwa LM, et al. Long-term results of symptomatic fibroids treated with uterine artery embolization: In conjunction with Mr evaluation[J]. Eur J Radiol, 2010, 73: 339 - 344.
[3] Cura M, Cura A, Bugnone A. Role of magnetic resonance imaging in patient selection for uterine artery embolization[J]. Acta radiol, 2006, 47: 1105 - 1114.
[4] Fang CH, Xie AW, Chen ML, et al. Application of a visible simulation surgery technique in preoperation planning for intrahepatic calculi[J]. World J Surg, 2010, 34: 327 - 335.
[5] 宋小磊, 欧阳振波, 陈春林, 等. 女性盆腔三维数字化模型构建的方法及其意义[J]. 中华妇产科杂志, 2011, 46: 216 - 218.
[6] 林宇宁, 李 辉, 杨熙章, 等. 糖尿病患者胰背动脉影像解剖的CTA与DSA对照研究[J]. 介入放射学杂志, 2011, 20: 141 - 145.
[7] 陈春林, 宋小磊, 余艳红, 等. 基于CTA的女性在体盆腔动脉血管网数字化三维模型构建的意义[J]. 中国实用妇科与产科杂志, 2011, 27: 276 - 279.
[8] 刘 萍, 余艳红, 陈春林, 等. 基于CT扫描的计算机三维重建在女性骨盆研究中的方法和应用[J]. 中国实用妇科与产科杂志, 2010, 26: 35 - 38.
[9] 曾北蓝, 陈春林, 余莉萍, 等. 子宫肌瘤动脉内数字减影血管造影影像学特点及临床意义[J]. 中国实用妇科与产科杂志, 2002, 18: 294 - 296.
[10] Mori K, Saida T, Shibuya Y, et al. Assessment of uterine and ovarian arteries before uterine artery embolization: advantages conferred by unenhanced Mr angiography[J]. Radiology, 2010, 255: 467 - 475.
[11] 徐玉静, 欧阳振波, 刘 萍, 等. 磁共振在子宫肌瘤动脉栓塞术中的应用价值[J]. 中国实用妇科与产科杂志, 2011, 27: 162 - 165.
[12] Mclucas B, Yaghmai B, Beller M. Computed tomography angiogram for failed uterine artery embolization[J]. Minim Invasive Ther Allied Technol, 2009, 18: 87 - 92.
[13] Pelage JP, Cazejust J, Pluot E, et al. Uterine fibroid vascu-larization and clinical relevance to uterine fibroid embolization[J]. Radiographics, 2005, 25(Suppl 1): S99 - 117.
[14] White AM, Banovac F, Yousefi S, et al. Uterine fibroid embolization: the utility of aortography in detecting ovarian artery collateral supply[J]. Radiology, 2007, 244: 291 - 298.
[15] Razavi MK, Wolanske KA, Hwang GL, et al. Angiographic classification of ovarian artery-to-uterine artery anastomoses: initial observations in uterine fibroid embolization[J]. Radiology, 2002, 224: 707 - 712.
[16] Binkert CA, Andrews RT, Kaufman JA. Utility of nonselective abdominal aortography in demonstrating ovarian artery collaterals in patients undergoing uterine artery embolization for fibroids[J]. J Vasc Interv Radiol, 2001, 12: 841 - 845.
[17] 李广琪, 王执民, 张洪新, 等. 子宫肌瘤的血管影像学表现及多中心观察子宫动脉栓塞治疗近期疗效[J]. 介入放射学杂志, 2010, 19: 865 - 868.

相似文献/References:

[1]张 琳,黄学全,王健,等.自主研发电化学治疗同轴电极与传统针式电极电解效应的对比研究[J].介入放射学杂志,2012,(02):148.
 ZHANG Lin,HUANG Xue-quan,WANG Jian,et al.The electrolytic effect in electrochemotherapy: a comparative study between self-prepared coaxial electrode and conventional needle electrode[J].journal interventional radiology,2012,(01):148.
[2]赵 玮,王伟中,陈莹,等.耳部动静脉畸形供血动脉的血管造影研究[J].介入放射学杂志,2012,(02):103.
 ZHAO Wei,WANG Wei-zhong,CHEN Ying,et al.Angiographic findings of the feeding arteries of auricular arteriovenous malformations[J].journal interventional radiology,2012,(01):103.
[3]邹俊民,龙世娟,张振明. 改良髂内动脉化疗联合放疗治疗Ⅲ~Ⅳa期 子宫颈癌32例[J].介入放射学杂志,2012,(02):123.
 ZOU Jun-min,LONG Shi-Juan,ZHANG Zheng-ming..Improved internal iliac artery chemotherapy combined with radiotherapy for the treatment of stage Ⅲ-Ⅳa cervical cancers[J].journal interventional radiology,2012,(01):123.
[4]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136.
 WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(01):136.
[5]赵玉峰,孙玉琴,韩晓静,等. 输卵管介入再通术后受孕时机的研究[J].介入放射学杂志,2012,(02):158.
 ZHAO Yu-feng,SUN Yu-qin,HAN Xiao-jing,et al.The optimal time for conception after fallopian tube recanalization therapy[J].journal interventional radiology,2012,(01):158.
[6]含 笑,曹建民,史东宏,等.吉西他滨、顺铂动静脉联合化疗治疗晚期非小细胞肺癌的近期疗效分析[J].介入放射学杂志,2012,(02):119.
 HAN Xiao,CAO Jian-min,SHI Dong-hong,et al.Bronchial artery infusion of Gemcitabine and Cisplatin combined with systemic chemotherapy for advanced non-small cell lung cancer: its short-term efficacy[J].journal interventional radiology,2012,(01):119.
[7]姚雪松,李 槐.不可手术切除的肝细胞癌的疗效评价标准——改良RECIST标准更可靠[J].介入放射学杂志,2012,(03):177.
 . Therapeutic evaluation criterion of inoperable hepatocellular carcinomas: modified RECIST as a more reliable standard[J].journal interventional radiology,2012,(01):177.
[8]齐 立,李慎茂,俸军林,等. 动脉溶栓与机械碎栓联合动脉溶栓的对比分析[J].介入放射学杂志,2012,(03):180.
 ,,et al. Comparison of the therapeutic efficacy between simple arterial thrombolysis and mechanical thrombectomy combined with arterial thrombolysis for acute cerebral infarction at its ultraearly stage[J].journal interventional radiology,2012,(01):180.
[9]石 潆,赵 卫,沈 进,等.脑动静脉畸形栓塞治疗术并发颅内出血的原因及处理[J].介入放射学杂志,2012,(03):185.
 ,,et al.Intracranial hemorrhage due to embolization therapy for cerebral arteriovenous malformation: its causes and management [J].journal interventional radiology,2012,(01):185.
[10]周 慷,李晓光,金征宇,等.清宫术前子宫动脉化疗栓塞术治疗瘢痕妊娠的疗效分析[J].介入放射学杂志,2012,(03):190.
 ,,et al.Therapeutic analysis of bilateral uterine artery chemoembolization performed before uterine dilation and curettage for cesarean scar pregnancy [J].journal interventional radiology,2012,(01):190.
[11]徐 强,黄优华,石红建,等. 葡聚糖微球经子宫动脉栓塞子宫肌瘤的临床疗效[J].介入放射学杂志,2011,(12):961.
 XU Qiang,HUANG You-hua,SHI Hong-jian,et al.The clinical application of uterine arterial embolization with dextran microspheres in treating uterine leiomyomas[J].journal interventional radiology,2011,(01):961.

备注/Memo

备注/Memo:
(收稿日期:2011-07-18)
更新日期/Last Update: