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本文报道26例腹腔动脉和肝动脉造影的结果和在治疗上的初步应用。肝血管造影对直径5厘米以下的小肝癌的定位诊断价值较其他方法为优,并以肿瘤血管为其造影特征。肝癌术前造影可以明确肿瘤部位、范围及血管分布,因此有助于拟定治疗方案,避免盲目探查,并还可通过导管给于明胶海绵、放射性同位素、化疗药物以替代剖腹肝动脉结扎或插管。部分病例血管造影显影不清晰,可能系左肝动脉变异或少血管型,这有待今后进一步探索。
This article reports the results of 26 cases of celiac artery and hepatic arteriography and its preliminary application in therapy. Hepatic angiography is superior to other methods in the localization diagnosis of small hepatocellular carcinoma with a diameter of 5 cm or less, and is characterized by its angiographic characteristics. Liver cancer preoperative angiography can clearly define the location, extent, and vascular distribution of the tumor, thus helping to develop a treatment plan to avoid blind exploration. It can also be given catheters for gelatin sponges, radioisotopes, and chemotherapy drugs to replace laparotomy for hepatic artery ligation or intubation. . In some cases, angiographic imaging is unclear, which may be a variation of the left hepatic artery or a small vessel type, which needs to be further explored in the future.