肝动脉解剖变异在肝癌介入治疗中的临床价值  

Clinical Value of Anatomical Variation of Hepatic Artery in Interventional Therapy for HCC

作　　者：汪建成[1] 胡道予[1] 洪永英[2] 陈代明[2] 刘苇[1] 陈建中[2] 

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 [2]荆州市第二人民医院

出　　处：《肿瘤防治研究》2005年第8期509-510,527,共3页Cancer Research on Prevention and Treatment

基　　金：湖北省自然科学基金资助项目(2002AA130)

摘　　要：目的探讨肝动脉解剖变异在肝癌介入治疗中的临床价值.方法本文收集2003年1月～2004年6月在同济医院放射科做肝动脉化疗栓塞术(TACE)和肝动脉栓塞(TAE)的中晚期肝癌150例,将每例病人的肝动脉造影所见与临床资料及随访结果一起进行分析.结果 150例中,有肝动脉变异者23例,占全部病例的15.3%.结论表明肝动脉变异发生率较高.同时发现有些病例虽然肝动脉及其分支无变异,但肝动脉走行位置变异,对选择性肝动脉插管有较大影响.作者对肝动脉变异的类型、肝动脉走行位置异常、以及它们在肝癌介入治疗中的意义进行了讨论.Objeetive To explore the clinical value of anatomical variation of hepatic artery in interventional therapy for HCC. Methods This article retrospectively analysed and compared hepatical arteriograph results with clinical data and follow-up results of 150 patients with intermediate or advanced HCC, retreated by TAE or TAI. Results Of 150 cases, there were 23 cases with anatomical variation of hepatic artery, and the ratio is 15.3%. Conclusion It indicated the incidence of anatomical variation of hepatic artery is relatively high. Meanwhile, the localization variation of hepatic artery, although without constructional variation, had noticeable influence on hepatic artery catheterization. The author summarized the constructional and localization variation types of hepatic artery, and discussed their significance in interventional therapy for HCC.

关 键 词：肝癌 血管造影术 侧支循环 

分 类 号：R815[医药卫生—放射医学] R735.7[医药卫生—临床医学]