论文部分内容阅读
目的:探讨肝癌肝外动脉在介入治疗原发性肝癌中的意义。方法:回顾性分析2009-03-2010-08山东省肿瘤医院200例原发性肝癌患者的DSA资料。所有患者行常规腹腔动脉造影及肝外动脉探查,并对其行超选择性插管及化疗栓塞治疗(TACE)。结果:200例患者共接受257次TACE治疗,36例患者存在47条肝外动脉参入肿瘤供血,主要来自膈下动脉(10例),肋间动脉(4例),内乳动脉(1例),网膜动脉(3例),胃十二指肠动脉(8例),肠系膜上动脉的分支(10例)。33例患者肝外动脉均行超选择性插管和化疗栓塞治疗,其余3例患者肝外动脉困未能成功超选择性插管而经皮射频消融治疗后CR。结论:肝外动脉的存在直接影响肝癌治疗的疗效,对肝外动脉供血支超选择性栓塞治疗,对提高TACE的疗效具有十分重要的意义。
Objective: To investigate the significance of extrahepatic artery of liver cancer in interventional treatment of primary liver cancer. Methods: The DSA data of 200 patients with primary liver cancer from Shandong Cancer Hospital from March 2009 to August 2010 were retrospectively analyzed. All patients underwent routine celiac artery angiography and extrahepatic arteries exploration, and their super selective catheterization and chemoembolization (TACE). Results: A total of 257 TACEs were received in 200 patients. Totally 47 extrahepatic arteries were involved in the tumor supply in 36 patients, mainly from subphrenic artery (10 cases), intercostal artery (4 cases), internal mammary artery (1 case) , Omental artery (3 cases), gastroduodenal artery (8 cases), superior mesenteric artery branch (10 cases). The extrahepatic arteries of 33 patients were treated by superselective catheterization and chemoembolization. The other 3 patients were complicated by extrahepatic arterial insufficiency and percutaneous radiofrequency ablation. Conclusion: The existence of extrahepatic artery directly affects the curative effect of hepatocarcinoma treatment. It is of great significance to improve the curative effect of TACE on extrahepatic arterial blood supply super selective embolization.