本文描述了77例原发性肝癌肝动脉-门脉瘘和肝动脉-静脉瘘的诊断方法及在选择性肝动脉造影上的表现,提出了原发性肝癌肝动脉-门脉瘘和肝动脉-静脉瘘的诊断与鉴别诊断和处理原则,并观察瘘存在与食管静脉曲张出血的关系,认为肝动脉栓塞是治疗原发性肝癌伴肝动脉-门脉瘘上消化道出血的一种有效方法。 This article describes the diagnosis of hepatic artery-portal fistula and hepatic arteriovenous fistula in 77 cases of primary hepatic carcinoma and the performance of selective hepatic arteriography. Hepatic artery-portal fistula and hepatic artery of primary hepatic carcinoma are proposed. - The principle of diagnosis and differential diagnosis and treatment of venous fistula, and observe the relationship between the presence of phlegm and esophageal variceal bleeding. It is considered that hepatic artery embolization is an effective method for the treatment of primary hepatocellular carcinoma with hepatic arterial portal venous hemorrhage. .