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本文报告肝癌的选择及超选择性动脉数字减影血管造影(以下称IADSA)及介入治疗共120例。其中原发性肝癌98例,各类转移性肝癌22例,并分别以明胶海绵或碘油加丝裂霉素化疗栓塞,对后两者优者优劣进行了对比。肝癌的血供除来自肝动脉外,较大者常有膈下,胰12指肠、肾上腺等异常血供,处理是否恰当相当重要。IADSA法影像较清晰,可明显减少造影剂用量、节约胶片、缩短检查治疗时间为其所特有。
This article reports the selection of liver cancer, and 120 cases of superselective arterial digital subtraction angiography (hereinafter referred to as IADSA) and interventional therapy. There were 98 cases of primary liver cancer, 22 cases of various types of metastatic liver cancer, and they were embolized with gelatin sponge or lipiodol plus mitomycin respectively. The superiority and inferiority of the latter two were compared. In addition to the hepatic artery, the blood supply to hepatocellular carcinoma often involves axillae, and the abnormal blood supply to the pancreas, intestine, adrenal glands, etc., is very important. The IADSA method provides clearer images, which can significantly reduce the amount of contrast agent, save film, and shorten the inspection and treatment time.