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目的：探讨肝癌的多支血供对ＴＡＣＥ治疗效果的作用。方法：对１３４例原发性肝癌采用Ｓｅｌｄｉｎｇｅｒ技术进行造影及ＴＡＣＥ治疗。结果：治疗中发现５０例（３８．８％）存在多支供血，其中副肝动脉供血１２例（８．９６％），侧支开放供血３８例（２８．３６％）。对５０例多支供血的肝癌只作单纯肝动脉ＴＡＣＥ治疗与多支动脉ＴＡＣＥ治疗结果比较，肿瘤缩小率有显著差异（Ｐ＜０．０１）。结论：通过对１３４例患者动脉造影发现：肝癌的侧支供血与肿瘤的部位密切相关，肝癌的多支供血动脉逐一进行ＴＡＣＥ治疗其效果明显优于单纯肝动脉ＴＡＣＥ治疗（Ｐ＜０．０１）。
Objective: To explore the effect of multiple blood supply of liver cancer on the therapeutic effect of TACE. Methods: 134 cases of primary liver cancer were treated with Seldinger technique and TACE. Results: In the treatment, 50 patients (38.8%) had multiple blood supply, including 12 cases (8.96%) of hepatic artery supply and 38 cases (28.36%) of open collaterals. Compared with the results of TACE alone and multiarterial TACE in 50 patients with multiple blood supply hepatic arteries, there was a significant difference in tumor shrinkage (P<0.01). Conclusion: The arterial angiography of 134 patients revealed that the collateral blood supply of liver cancer is closely related to the tumor site. The TACE treatment of multiple arterial feeding artery of liver cancer was significantly better than that of TACE alone (P<0.01). .