论文部分内容阅读
肝细胞癌侵犯门静脉已属中晚期,盲目的手术会造成肿瘤的加速扩散,术前明确门静脉有否侵犯对制订治疗方案及其对预后的判断非常重要。本文通过分析肝癌侵犯门静脉的各种影象特征,评价B超、CT、血管造影的应用价值。 1 材料和方法 收集1990/1997在我院住院治疗各种影象检查比较齐全的肝细胞癌伴门静脉受侵病例84例,男70例,女14例,年龄26岁～83岁,平均50.5岁,84例均做B超及血管造影检查,72例做过CT平扫及增强扫描,2例剖腹探查发现肿瘤侵犯门静脉无法手术切除而门脉内留置化疗导管,52例合并不同程唐肝硬变,血管造影的84例中,80例采用Seldinger法行腹腔
Hepatocellular carcinoma invasion of the portal vein has been advanced, blind surgery will cause the tumor to accelerate the proliferation of preoperative clear whether the invasion of the portal vein on the development of treatment programs and their prognosis is very important. In this paper, by analyzing the various features of the portal vein invasion of liver cancer, B ultrasound, CT, angiography value. 1 Materials and Methods Collection 1990/1997 hospitalized in our hospital a variety of imaging examination of complete hepatocellular carcinoma with portal vein involvement in 84 cases, 70 males and 14 females, aged 26 years to 83 years, mean 50.5 years , 84 cases were done B ultrasound and angiography, 72 cases had CT plain scan and enhanced scan, 2 cases of laparotomy found that the tumor invading the portal vein can not be surgically removed and the catheter indwelling chemotherapy catheter, 52 cases of different course of liver cirrhosis Change, angiography in 84 cases, 80 cases using the Seldinger method of abdominal cavity