外生性肝癌的血供特点及介入治疗  

Blood supply features and interventional therapy of pedunculated hepatocellular carcinoma

作　　者：游勇[1] 谢宗贵[1] 陈树平[1] 黄云龙[1] 吴涓[1] 胡元明[1] 

机构地区：[1]广东省深圳市中医院放射科,518033

出　　处：《介入放射学杂志》2006年第12期719-721,共3页Journal of Interventional Radiology

摘　　要：目的探讨外生性肝癌血供特点及经肿瘤供血动脉化疗栓塞术的疗效。方法5例外生性肝癌经股动脉插管,肿瘤供血动脉造影、化疗栓塞治疗,用榄香烯350 mg肿瘤血管内热灌注化疗和顺铂60～80 mg加碘油8～15 ml乳剂及明胶海绵化疗栓塞。结果5例患者共行10次经血管途径的化疗栓塞术。造影显示肿瘤供血动脉以肝外血管为主,肝动脉部分参与供血。5例患者术后瘤体缩小30%～50%,4例AFP下降。结论外生性肝癌有不同于肝内肝癌的血供特点,经肿瘤供血动脉化疗栓塞术对外生性肝癌同样有效,是可供选择的治疗方法之一。Objective To evaluate the blood supply features and effectiveness of arterial chemoembolization for pedunculated hepatocellular carcinoma. Methods Angiography and chemoembolization via supplying blood arteries of tumor were performed in five patients with pedunculated hepatocellular carcinoma. Interventional procedure was carried out with tumor, vascular infusion of 350mg hot elemene emulsion and tumor embolization by cisplantin-lipidol emulsion（cisplantin 60-80mg＋lipidol8-15ml）and glutin. Results Ten interventional procedures （TACE）were undertaken ,in 5 patiepts. Angiography showed that tumor blood supply mainly coming from collateral circulation adjacent to the tumors,but partially from hepatic artery. Tumor sizes decreased from 30% to 50% in 5 cases, and AFP declinedin 4 cases after the treatment. Conclusion Pedunculated hepatocellular carcinoma possessing different blood supply features from intrahepatocellular carcinomas. But transarterial chemoembolization is still an effective method of choice for this treatment.

关 键 词：肝癌 肝外生长 介入治疗 化疗栓塞术 

分 类 号：R735.7[医药卫生—肿瘤]