原发性肝癌肝动脉树X线解剖学类型及介入治疗的临床研究  

X-ray Anatomy Type of Hepatic-artery Tree of Primary Hepatocellular Carcinoma and Interventional Therapy

作　　者：史跃[1] 高从敬[1] 董生良 张南征[3] 栾智勇[1] 叶福林[4] 

机构地区：[1]解放军第97医院医学影像科,江苏徐州221004 [2]江苏省宿迁市中医院 [3]解放军第97医院消化肿瘤科 [4]解放军第97医院心胸外科

出　　处：《解剖与临床》2007年第4期246-249,共4页Anatomy and Clinics

基　　金：全军医药卫生科研基金重点课题(06Z18)

摘　　要：目的:研究原发性肝细胞癌肝动脉树的X线解剖学类型。方法:对100例原发性肝细胞癌肝动脉DSA造影资料分析研究,根据供血动脉在瘤体内的分布情况以及X线解剖学形态进行分型;根据不同的解剖学类型采用不同的介入治疗方法。结果:肿瘤组织内肝动脉树X线解剖学形态分为4种类型,即肝动脉瘘型、枯枝型(中血供)、柳枝型(少血供)、鸟巢型(多血供)。4种不同解剖学类型采用不同的介入治疗方法显效率分别为31.3%、38.9%、44.8%、54.1%,总有效率为76%。结论:原发性肝癌的肝动脉供血主要表现为鸟巢型、柳枝型。根据不同解剖学类型采用不同的介入治疗术式是一种可行的方法。Objective:To investigate the x-ray anatomy type in primary hepatocellular carcinoma.Methods:The X-ray anatomy type of hepatic-artery tree in 100 cases with primary hepatocellular carcinoma were observed and analyzed by supplying artery distribution and anatomic morphology in cancer tissue.Various interventional therapies were adopted according to different patients'X-ray anatomy type of hepatic-artery tree.Results:Four kinds of X-ray anatomy type of hepatic-artery tree were found in cancer tissue,which were types of fistula of hepatic artery,faded branch(common blood supply),osier branch(poor blood supply),bird nest(rich blood supply).The effective rates of interventional therapies adopted by four different kinds of X-ray anatomy type of hepatic-artery tree were 31.3%,38.9%,44.8%,54.1% respectively,and the total effective rate was 76%.Conclusions:The main x-ray anatomy types of hepatic-artery tree in primary hepatocellular carcinoma were types of bird nest and osier branch.It is feasible to use various interventional therapies to treat primary hepatocellular carcinoma according to their X-ray anatomy type of hepatic-artery tree.

关 键 词：肝细胞癌 肝动脉树 X线解剖 

分 类 号：R735.7[医药卫生—肿瘤]