肝癌术后复发的血管造影  

Diagnostic Value of the Hepatic Arteriography for the Recurrence of Primary Liver Cancer after Surgery

作　　者：汪建成[1] 喻峰[1] 姚宏亮[1] 王南[1] 张玉琴[1] 黄艳荣[1] 胡道予[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院放射科,武汉430030

出　　处：《放射学实践》2005年第8期724-727,共4页Radiologic Practice

基　　金：湖北省自然科学基金资助项目(2002AA130)

摘　　要：目的:探讨肝癌术后复发血管造影的影像学表现及其诊断价值。方法:回顾性分析112例原发性肝癌手术切除后复发的肝动脉造影表现和化疗栓塞治疗的结果。结果:造影表现归纳为3种类型:Ⅰ型(边缘复发型)23例,占20.5%;Ⅱ型(肝内播散型)81例,占72.3%;Ⅲ型(隐匿复发型)8例,占7.1%。造影表现特点:血供相对不丰富,肿瘤结节染色浅淡,病灶常呈多发性;小病灶(直径<2.0cm)多见。结论:肝癌手术后复发血管造影对于指导原发性肝癌的综合治疗具有十分重要的意义。Objective： To discuss the standard of angiographic diagnosis and the effectiveness of the interventional treatment of the recurrent liver cancer. Methods.. The hepatic arteriographic findings and chemoembolization treatment resuits of 112 cases with recurrent primary liver cancer after surgery were retrospectively analyzed. Results： The angiographic manifestations were divided into three types ; type Ⅰ （recurrence on edge）, 23 cases （20.5 % ） ; type Ⅱ （intrahepatic dissemination） ,81 cases （72.3 % ） ; type Ⅲ （insidious recurrence） ,8 cases （7.1 % ）. The characters of angiographic findings were described as follows ； the relatively poor feeding vessels, the pale staining of tumor nodules, the common multiple focuses and small tumor nodule （diameter of tumor〈 2.0cm）. Conclusion： Hepatic arteriography is significant for the comprehensive treatment of the recurrent primary liver cancer after surgery.

关 键 词：肝细胞 血管造影术 数字减影 肿瘤复发 肝癌 

分 类 号：R735.7[医药卫生—肿瘤]