原发性肝癌肝外动脉供血在介入治疗中的意义  

The Clinical Significance of Extrahepatic Arterial Blood Supply of Primary Hepatic Carcinoma in the Interventional Therapy

作　　者：黄洪华[1] 李拥军[1] 徐爱兵[1] 张卫华[1] 

机构地区：[1]南通市肿瘤医院介入科

出　　处：《肿瘤基础与临床》2011年第2期139-141,共3页journal of basic and clinical oncology

摘　　要：目的探讨原发性肝癌的肝外动脉供血情况,提高肝癌介入治疗的疗效。方法本组52例原发性肝癌患者行常规腹腔动脉造影及肝外动脉探查,并对其行超选择性插管和化疗栓塞治疗。结果 52例患者共见57条肝外动脉,其中膈下动脉16条,肠系膜上动脉13条,右肾上腺动脉及右肾动脉10条,胃左动脉7条,胃十二指肠动脉5条,胃网膜动脉2条,脾动脉2条,右肋间动脉1条,右胸廓内动脉1条。7条肝外动脉未能成功行超选择性插管而仅给予化疗药物灌注治疗,其余50条肝外动脉均行超选择性插管和化疗栓塞治疗。结论原发性肝癌的肝外动脉供血较为常见和多变,认识肝外动脉供血的特点和规律有助于提高肝癌介入治疗的疗效。Objective To investigate the extrahepatic arterial blood supply of primary hepatic carcinoma,and to improve the curative effect of interventional therapy on primary hepatic carcinoma.Methods All the 52 patients with primary hepatic carcinoma underwent conventional abdominal angiography and hepatic artery probe,and the received superselective catheterization and chemoembolization.Results There were 57 extrahepatic arteries in the 52 patients,including 16 inferior phrenic arteries,13 superior mesenteric arteries,10 right adrenal arteries and right renal arteries,7 left gastric arteries,5 gastroduodenal arteries,2 gastroepiploic arteries,2 splenic arteries,1 right intercostal artery,and 1 right internal mammary artery.Superselective catheterization failed in 7 extrahepatic arteries,and infusion chemotherapy was done.The remaining 50 extrahepatic arteries underwent superselective catheterization and chemoembolization.Conclusion Extrahepatic arterial blood supply of primary hepatic carcinoma is common and variable.Recognizing the characteristics of extrahepatic arterial blood supply can help to improve the efficacy of interventional therapy.

关 键 词：原发性肝癌 肝外动脉供血 介入治疗 

分 类 号：R735.7[医药卫生—肿瘤]