原发性肝癌的迷走肝外营养血供与介入治疗(附23例报告)  

原发性肝癌的迷走肝外营养血供与介入治疗

作　　者：胡哲[1] 龚高全[2] 金诗湘[1] 虞希祥[3] 

机构地区：[1]温州医学院附属第二医院,325027 [2]复旦大学附属中山医院,200000 [3]温州医学院附属第三医院,325300

出　　处：《浙江临床医学》2005年第8期797-798,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨原发性肝癌的迷走肝外营养血供及其对肝癌介入治疗的意义。方法本组23例原发性肝癌患者行常规腹腔动脉造影及肝外营养血管探查,并对其行超选择性插管及化疗栓塞治疗(TACE)。结果23例患者共见24条肝外营养血管,其中肠系膜上动脉(8/24)和膈动脉(7/24)占多数。4条肝外营养血管因未能成功行超选择性插管而只予化疗药灌注治疗,其余20条肝外营养血管均行超选性插管和化疗栓塞治疗。结论原发性肝癌的迷走肝外营养血供较为常见和多变,对肝癌的经导管介入治疗具有重要的意义。Objective To study the value of aberrant feeding vessels for interventional therapy in primary hepatic cancer. Methods 23 cases with primary hepatic cancer were performed routine celiac artery angiography and explored the aberrant tumor- feeding artery to hepatic cancer, then superselective cannula and transcatheter arterial chemoembolization （TACE）. Results 24 aberrant tumor- feeding arteries to hepatic cancers in 23 cases were founded, 8 aberrant vessels origin from superior mesenteric arteries, 7 aberrant vessels origin from diaphragmatic arteries. 20 aberrant vessels were performed superselective transcatheter and transcatheter arterial chemoenbolization, others only performed transeatheter arterial chernoenmbolization. Conclusion The aberrant tumor- feeding artery is common and various and important for interventional treatment in primary hepatic cancer.

关 键 词：原发性肝癌 肝外营养血供 介入治疗 原发性肝癌患者 经导管介入治疗 外营养 迷走肝 血供 超选择性插管 化疗栓塞治疗 

分 类 号：R735.7[医药卫生—肿瘤]