论文部分内容阅读
目的探讨肝癌的规则性、变异性、寄生性供血情况,以提高TACE治疗肝癌的疗效。方法回顾分析经病理及影像资料证实的肝癌病灶52枚。行常规DSA造影,当发现肿瘤无染色或动脉期存在部分无血管区及实质期充盈缺损时,再分别行肠系膜上动脉、胃左动脉、膈下动脉、右肾上腺动脉、胸廓内动脉、肋间动脉DSA造影。结果肝癌的规则性供血病灶39枚,占75%;肝癌的变异性供血病灶13枚,占25%;肝癌的寄生性供血病灶11枚,占21%。结论肝癌病灶主要供养动脉来自肝动脉的规则性供血,但尚有25%的肝癌病灶存在变异性供血。积极地通过肝癌的规则性、变异性、寄生性供血动脉进行肝癌的化疗栓塞,能进一步提高疗效。
Objective To investigate the regularity, variability and parasitic blood supply of hepatocellular carcinoma in order to improve the curative effect of TACE in the treatment of liver cancer. Methods Retrospective analysis of pathological and imaging data confirmed liver cancer lesions 52. Routine DSA angiography, when the tumor was found non-staining or arterial phase exists in part of the avascular area and parenchymal filling defect, and then were the superior mesenteric artery, left gastric artery, subphrenic artery, right adrenal artery, internal thoracic artery, intercostal space Arterial DSA angiography. Results The regular blood donation of HCC was 39, accounting for 75%. There were 13 lesions of HCC with blood donation, accounting for 25%. There were 11 parasitic blood lesions of HCC, accounting for 21%. Conclusion Hepatic cancer focuses mainly on regular arterial blood supply from the hepatic artery, but there are still 25% of hepatic lesions with variable blood supply. Active liver cancer by regularity, variability, parasitic blood supply artery chemoembolization of liver cancer, can further improve the efficacy.