CDFI对肝癌肝动脉栓塞术前后肝动脉血流动力学的观察  

Color Doppler Observation of Hepatic Artery Hemodynamics be fore and after Transcatheter Hepatic Artery Embolization in Hepatocellular Carcinoma

作　　者：翟玉霞[1] 朱掌珠[1] 李从铸 黄柱华[1] 张年庆[1] 

机构地区：[1]蚌埠医学院附属医院,233004

出　　处：《中国超声医学杂志》1997年第1期37-39,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：本文应用彩色多普勒超声（CDFI）对22例原发性肝细胞癌（HCC）患者肝动脉化疗及栓塞术（TAE）前后肿瘤的血供情况、肝动脉血流动力学的改变进行了观察。结果表明：①肝癌主要由肝动脉供血，少部分由门静脉供给；②TAE后肿瘤内部及周边动脉血流明显减少（P＜0．05）；③肝动脉收缩期最大流速（Vmax）、舒张期最少流速（Vmin）均明显下降（P＜0．05），而阻力指数（RI）和肝动脉直径改变不明显（P＞0．05）；④TAE后瘤体也明显减小（P＜0．001）。本文认为在行TAE前后，应用CDFI对肿瘤血供、肝动脉血流动力学改变进行观察分析，可以给TAE的预后提供重要指标，给下步重复治疗提供依据。所以CDFI是目前肝癌肝动脉栓塞治疗前后最好的影像学检查方法。Blood supply of the tumors and changes of hepatic artery hemodynamics were observed in 22 cases ofhepatocellular carcinoma by means of color Deppler flow imaging (CDFI). It showed that the tumor blood was supplied bythe hepatic artery and the portal vein. After TAE. the artery flow within and around the tumors ovbiously reduced (p＜0.05). The systolic and dlastolic velocity of the hepatic artery were significantly lowered, but the resistance index and thehepatic artery diameter were not significantly changed (p＜0.05). The tumor size all obviously reduced (p＜0. 001 ).

关 键 词：血液动力学 癌 肝动脉栓塞术 肝肿瘤 超声波诊断 

分 类 号：R735.705[医药卫生—肿瘤] R730.41[医药卫生—临床医学]