经导管化疗栓塞术治疗左膈下动脉供血肝癌  

TACE in patients with hepatocelluar carcinoma feeded by left inferior phrenic artery

作　　者：吴红平[1] 王俊杰[1] 楼勇[1] 尤开智[1] 

机构地区：[1]三峡大学第三临床医学院葛洲坝集团中心医院放射科,湖北宜昌443002

出　　处：《中国介入影像与治疗学》2009年第4期327-329,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的评估对左膈下动脉供血肝癌患者行经导管左膈下动脉化疗栓塞的疗效。方法回顾性分析187例肝癌患者的血管造影资料,其中对5例明确存在左膈下动脉参与供血的肝癌患者接受经导管左膈下动脉化疗栓塞术。结果患者栓塞治疗3个月后均行CT及血管造影复查。3例患者完全缓解,2例患者一年后左膈下动脉再通,均再次接受栓塞治疗。结论经导管左膈下动脉化疗栓塞术对存在左膈下动脉供血的肝癌患者具有较好疗效。Objective To evaluate the efficacy of transcatheter arterial chemoembolization through left inferior phrenic artery （LIPA） in hepatocellular carcinoma （HCC） feeded by LIPA. Methods Angiographic data of 187 HCC patients were retrospectively analyzed. Five patients with LIPA feeding HCC were diagnosed and successfully treated with TACE through LIPA. Results All 5 patients underwent CT and angiography after 3 months, 3 of them achieved complete remission. LIPA recanalized in the other 2 patients, then these 2 patients underwent TACE through LIPA again. Conclusion LIPA could formed lateral branch to feed HCC. TACE through LIPA is safe and effective.

关 键 词：肝肿瘤 左膈下动脉 经导管动脉化疗栓塞 侧支血管 

分 类 号：R735.7[医药卫生—肿瘤]