肝动脉解剖变异及其在中晚期肝癌介入治疗中的意义  

Anatomic variation of hapatic artery and its clinical significance in interventional therapy for moderate and advanced hepatocarcinoma

作　　者：黄平[1] 陈平[1] 倪恿文[1] 

机构地区：[1]江西医学院二附院

出　　处：《江西医药》1999年第3期134-136,共3页Jiangxi Medical Journal

摘　　要：目的讨论中晚期肝癌肝动脉变异及其在中晚期肝癌介入导管治疗中的临床意义。方法对５５６例中晚期肝癌进行肝动脉介入灌注化疗（ＴｒａｎｒａｔｈｅｔｅｒａｒｔｅｒｉａｌｉｎｆｕｓｉｏｎＴＡＩ）和／或其与化疗栓塞（ＴｒａｎｓｃａｔｈｅｔｅｒａｒｔｅｒｉａｌｃｈｅｍｏｅｍｂｏｌｉｚａｔｉｏｎＴＡＣＥ）联合治疗，治疗前进行肝动脉造影。结果发现肝动脉变异８５例，占１５３％。我们发现肝动脉无变异者生存期长于有变异者。结论应仔细造影观察有无肝动脉变异，尽可能做到插管高选择性。否则，应另寻其他办法或辅以其他治疗来提高疗效。Objective The correlation between theraputic effect of interventional treatment and aberrant hepatic arteries are analyzed. Methods After hepatic artery radiograply. 556 patients with moderate and advanced hepatocarcimoma were treated by transarterial infusion (TAI) and/ or transarterial chemoembolization (TACE). Results 85 individuals with aberrant hepatic arteries were observed. The survival period of the group without variation of hepatic artery was longer than that of the group with variation. Conclusions Arterioradiography should be performed carefully, Once variant arteries were found, optimal selective catheteriation should be performed as pessible. Otherwise, other therapeutic measures should be considered in order to improve curative effect.

关 键 词：肝动脉 解剖学 组织学 肝癌 介入治疗 

分 类 号：R735.705[医药卫生—肿瘤]