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睾丸动脉起自髂内动脉变异1例
解剖一男尸时,发现其右侧睾丸动脉与其右侧输精管动脉变异.右侧未见起自腹主动脉的睾丸动脉;右侧睾丸动脉与输尿管动脉以钝角共干,直接起自髂内动脉,该睾丸动脉与输精管伴行,加入右侧精索经右侧腹股沟至右侧睾丸,并成为右侧睾丸的唯一动脉(图1).观察其左侧睾丸动脉的起始与走向均未见异常.
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髂内动脉化疗栓塞治疗盆腔恶性肿瘤(附10例报告)
随着介入放射学的发展,动脉内化疗药物灌注,栓塞治疗已成为一些不可手术切除的恶性肿瘤姑息性治疗的首选方案.本文总结10例经手术病理证实的盆腔内恶性肿瘤的介入治疗经验,并对有关问题进行讨论.1 资料与方法1.1 临床资料经手术病理证实的盆腔内恶性肿瘤共10例,男4例,女6例,年龄大52岁,小34岁,平均45岁.其中直肠癌3例,直肠癌术后局部复发并盆腔淋巴结转移2例,宫颈癌术后复发5例.
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CASE REPORTA 20-year-old man was admitted for blunt trauma to left lower abdomen and dysfunction of left lower limb for 8 h. Physical examination: skin contusion for 5 cm in diameter at the left iliac fossa, accompanied with subcutaneous extravasated blood, tenderness and rebound tenderness of left lower quadrant, no abnormality of rectum palpated by digital examination. The left lower limb was pale, paresthesia, paralysis and low skin temperature, but no pitting edema. The pulsation of the left femoral artery and dorsalis pedis artery could not be palpated. Color Doppler imaging showed no flow in lumen of the upper portion of the left external iliac artery for 5-6 cm in length. The diagnosis,was traumatic arterial occlusion of the left external iliac artery. Laparotomy was performed. Haematoma in left lower abdominal wall and retroperitoneum, partial sever of external and internal oblique muscle were found. Dissection of the common iliac artery, external and internal iliac artery showed normal pulsation of