Preoperative renal artery infusion chemoembolization for intermediate-and advanced-stage renal carcinoma / 医学研究生学报

Objective:It is difficult to separate intermediate-and advanced-stage renal carcinoma,and in some cases even harder to totally remove it.This study aimed to assess the effect of the renal artery infusion chemoembolization on intermediate-and advanced-stage renal carcinoma before surgery.Methods: Twenty-seven patients with intermediate-or advanced-stage renal carcinoma accepted the Sandwich mode of selective bronchial renal artery embolization 3-7 days before surgery.Then we analyzed both the methods of embolization and surgery after intervention therapy.Results: All the patients were successfully treated by transarterial embolization.During the operation,renal artery pulsatility significantly decreased or even disappeared,with obvious swelling of the surrounding renal tissues but very little bleeding.Conclusion: Preoperative chemoembolization for intermediate-and advanced-stage renal carcinoma can improve surgical conditions,shorten the operation time,decrease bleeding and elevate the success rate.

CT studies of the thoracic outlet and inlet (analysis of 117 cases) / 中华放射学杂志

Objective To study the anatomy of the thoracic outlet and inlet,and to evaluate the CT diagnosis and differential diagnosis on abnormal conditions.Methods CT images of 117 pathologically and clinically proved cases in the zones were analyzed retrospectively.Control group contained 50 normal volunteers who were divided into 5 anatomic regions: region 1 (thyroid zone),region 2 (interior thyroid),region 3 (lateral thyroid),region 4 (posterior thyroid),and region 5 (anterior thyroid).Results Of the 117 cases,there were 11 cases (9.40%) in region 1,8 cases (6.84%) in region 2,72 cases (61.54%) in region 3,1 case (0.85%) in region 4,3 cases (2.56%) in region 5,15 cases (12.8%) in transregions (region 1,3,5),and 7 cases (5.98%) in transregions (region 1,2,3).The disorders were mainly distributed in region 3,in which lymphatic node abnormalities were the most common (55 cases).The 32 cases of abnormal thyroid gland were mainly located in region 1 and involved with other regions.Conclusion The 5 regions divided on CT anatomy of the thoracic outlet and inlet are very useful for the localization and definition in the diagnosis,which have important clinical value.